Reimbursement Benefits Representative

TEKsystems; United States; Hybrid; USD 32,000 - 39,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Short and long-term disability

Health Spending Account (HSA)

Job summary

TEKsystems in Minneapolis, MN is seeking a Benefit Verification Specialist for a contract role with hybrid work. The position focuses on verifying benefits, obtaining pre-certifications, and guiding offices on coverage for interventional urology products.

Responsibilities include advocating for customers, communicating with payers, and educating staff on authorization requirements. The role requires 3+ years in medical insurance verification and a strong understanding of Medicare, Medicaid, and

Qualifications

• 3+ years of experience with medical insurance verification.
• Knowledge of insurance benefit verification requirements, guidelines and policies.
• Experience in a health care related industry.

Responsibilities

• Act as an advocate for our customers as it relates to coverage.
• Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers.
• Obtain authorization, or pre-certifications required for patients to access coverage for Interventional Urology products.
• Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends.
• Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating appeals if required by insurance payer.
• Maintains knowledge of Medicare, Medicaid and Commercial payer requirements, guidelines, and policies.
• Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients.
• Work with customers if an exception to coverage is needed.
• Answer incoming calls from customers / patients and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner.

Skills

benefits management

benefits enrollment

reimbursement

insurance verification

customer service support

claims resolution

appeals

claims adjudication

Education

HS Diploma

Job description

Description

Medical Device Manufacturer is expanding their services to support Penial Implant surgeries. This group will take on the extra work to support their customers getting coverage for their surgery. This program was created just a year ago and they're experiencing more than double the volume and expecting more.

This program verifies benefits and works on prior authorization. Working directly with physician offices regarding coverage for surgery.

Job responsibilities for the Benefit Verification Specialist

Act as an advocate for our customers as it relates to coverage.

Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers.

Obtain authorization, or pre-certifications required for patients to access coverage for Interventional Urology products.

Knowledge of commercial payers, Medicare and Medicaid and their benefit structure(s)

Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity.

Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends.

Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating appeals if required by insurance payer.

Maintains knowledge of the following: Medicare, Medicaid and Commercial payer requirements, guidelines, and policies.

Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients

Work with customers if an exception to coverage is needed.

Answer incoming calls from customers / patients and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner.

Other duties as assigned by the management team.

Typical File for John Doe, wanting a surgery: Contractor receives the file and your job is to find the correct information; when the insurance company might not be able to provide you with the correct information. Need to investigate and identify any anomalies and critically think about what additional questions you ask to find the solution.

Skills

benefits management, benefits enrollment, reimbursement, insurance verification, customer service support, claims resolution, appeals, claims adjudication

Top Skills Details

benefits management,benefits enrollment,reimbursement,insurance verification,customer service support

Additional Skills & Qualifications

HS Diploma

3+ years of experience with medical insurance verification

Knowledge of insurance benefit verification requirements, guidelines and policies, insurance plans requiring pre-authorization

Experience in a health care related industry.

Experience Level

Intermediate Level

Job Type & Location

This is a Contract position based out of Minneapolis, MN.

Pay and Benefits

The pay range for this position is $23.00 - $28.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable for this temporary role may include the following:Medical, dental & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Minneapolis, MN.

Application Deadline

This position is anticipated to close on Nov 2, 2026.

Workplace Type

This is a hybrid position in Minneapolis,MN.

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

Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.