Provider Implementation Specialist

TEKsystems; Denver (CO); Remote; USD 100,000 - 125,000; Full time

Job summary

TEKsystems is hiring a remote Provider Implementation Specialist to join a top healthcare company in Colorado. This role involves liaising between departments, managing billing processes, and requires strong communication skills and critical thinking. Offers a part-time to full-time transition and competitive hourly pay with benefits.

Benefits

Health insurance

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Transportation benefits

Employee Assistance Program

Paid Time Off

Qualifications

• Minimum 6 months of Administrative Healthcare experience required.
• 2 years of customer service experience in critical roles.

Responsibilities

• Act as a liaison between billing, sales, and customer service.
• Manage onboarding and billing processes with various insurance companies.

Skills

Critical thinking

Communication skills

Adaptability

Education

Administrative Healthcare experience

Job description

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We are currently hiring a remote Provider Implementation Specialist for one of the top healthcare companies in Colorado! This position will start out part time, but eventually turn full time.

Description

• Requests will come in from other departments with a new customer launch or expansion to a new product.
• Identify all information they need in the request, if it’s not, send it back to get those details (like pricing, billing terms)
• Reach out to insurance contact that’s provided with a template email to introduce themselves and start process – will mostly be dealing with payers they’ve set up before, so they’ll be working off a template via email.
• For new payers, will need to schedule a call with insurance and talk through the billing process.
• Must be able to adapt depending on insurance requirements and how the billing process will work.
• Update internal data sheets to reflect customer onboarding process.
• Control testing process once customer is launched. Be in contact with insurance company to verify first batch of claims are processed correctly. Once it’s validated that the new customer is billed correctly, they pass this work off to the charge entry team for maintenance.
• Monitor price increases for existing customers. Generally the price increases 1x a year. Most hit Jan. 1 but some go off of launch date so will need to keep track of contract terms to stay organized and track when those increases adjust.
• A lot of data maintenance- anytime something changes with a customer or insurance company, they make updates so it bills correctly.
• Act as a liaison between billing team + sales + customer service, they bridge the gap between implementation and billing.
• Pull information from a lot of different places and aggregate it themselves, requires a lot of communication skills and critical thinking. Not reading off an SOP – will be adapting to whatever insurance company needs to set it up.
  
  
  

Qualifications

MUST HAVE

• Minimum of 6 months of Administrative Healthcare experience - understanding of payers and providers
• Minimum of 2 years of customer service experience in a role that requires critical thinking and was not scripted
• Very personable with high confidence in front of people and knowledge working with payers
• Clear communication, able to think through scenarios and guide someone through a process
• Ability to manage multiple processes at once
  
  
  

#westpriority25

Pay And Benefits

The pay range for this position is $20.00 - $20.00/hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

Available For This Temporary Role May Include The Following

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
  
  
  

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 20, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems And TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  IT Services and IT Consulting

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