Remote Healthcare Eligibility & Records Coordinator

TEKsystems; United States; Remote; USD 17,000 - 24,000; Full time

Job summary

TEKsystems is seeking a Remote Customer Service Representative to support the medical necessity review process by coordinating case documentation, medical records, and client communications. This role focuses on healthcare administration, claims, and verification in a fully remote environment.

Ideal candidates bring 2+ years of healthcare admin experience and familiarity with medical claims, HIM, and prior authorization.

Qualifications

• 2 years of healthcare administrative experience.
• Experience in medical claims, insurance verification, health information management (HIM), medical records, prior authorization, or healthcare customer service.
• Strong data entry and documentation skills with exceptional attention to detail.
• Experience working with Microsoft Office and web-based systems.
• Understanding of healthcare compliance, documentation standards, and confidentiality requirements.
• Previous remote work experience required.
• Excellent communication and customer service skills.
• High School Diploma or equivalent required.

Responsibilities

• Process cases through CMS and client portals with accurate records and documentation.
• Review eligibility, completeness, and compliance before medical necessity review.
• Retrieve, upload, and organize medical records from external systems.
• Enter and maintain information within multiple databases and tracking systems.
• Respond to client inquiries related to case status, reports and documentation requests.
• Coordinate with internal teams to ensure timely case progression and report completion.
• Verify required documentation is complete before routing cases to clinical reviewers.
• Maintain confidentiality and compliance with healthcare regulations and company standards.
• Assist with quality assurance initiatives, issue resolution, and general administrative support functions.

Skills

Healthcare admin

Medical claims

Insurance verification

HIM

Medical records

Prior authorization

Remote work

Data entry

Communication

Education

High School Diploma

Tools

Microsoft Office

Web-based systems

Job description

TEKsystems is seeking a Remote Customer Service Representative to support the medical necessity review process by coordinating case documentation, medical records, and client communications. This role focuses on healthcare administration, claims, and verification in a fully remote environment.

Ideal candidates bring 2+ years of healthcare admin experience and familiarity with medical claims, HIM, and prior authorization.