Patient Services Eligibility Specialist (Hybrid)

TEKsystems; Richmond (VA); Hybrid; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Time Off (PTO)

Job summary

TEKsystems is seeking a compassionate Patient Services Representative on a 4-6 month contract in Richmond, VA. This hybrid role involves handling 20-25 calls daily, assisting patients and providers, and safeguarding PHI under HIPAA guidelines.

The ideal candidate has healthcare customer service experience, knowledge of Medicare/Medicaid, strong communication skills, and proficiency with Microsoft Office. No weekends; benefits may apply for eligible temporary staff.

Qualifications

• 1+ years of healthcare customer service experience.
• Experience handling inbound and outbound calls.
• Knowledge of HIPAA regulations and PHI management.
• Understanding of Medicare, Medicaid, Marketplace, or private insurance plans.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office Suite.
• Basic math skills and ability to calculate eligibility requirements.
• Ability to work independently and take initiative to find solutions.
• High attention to detail and strong documentation skills.

Responsibilities

• Answer and manage approximately 20-25 inbound and outbound calls daily.
• Assist patients, caregivers, providers, pharmacies, and insurance companies with program-related inquiries.
• Research and resolve issues by identifying appropriate resources and solutions.
• Handle Protected Health Information (PHI) in accordance with HIPAA guidelines.
• Document interactions accurately and maintain detailed records.
• Support Medicare, Medicaid, private insurance, and marketplace-related inquiries.
• Calculate eligibility and assist with financial assistance program requirements.
• Provide exceptional customer service using a person-centered approach.
• Collaborate with internal teams to ensure timely resolution of patient needs.

Skills

Healthcare experience

HIPAA knowledge

PHI handling

Medicare/Medicaid knowledge

Call center experience

Microsoft Office

Attention to detail

Problem solving

Tools

Microsoft Office

Job description

TEKsystems is seeking a compassionate Patient Services Representative on a 4-6 month contract in Richmond, VA. This hybrid role involves handling 20-25 calls daily, assisting patients and providers, and safeguarding PHI under HIPAA guidelines.

The ideal candidate has healthcare customer service experience, knowledge of Medicare/Medicaid, strong communication skills, and proficiency with Microsoft Office. No weekends; benefits may apply for eligible temporary staff.