Benefits Verification Specialist
TEKsystems
Posted Thursday, July 10, 2025
Posting ID: JP-005403136
Description
A person in this role is going to be taking calls and outreach from health care professionals at doctor's offices or hospitals, as well as communicating directly with health insurance plans regarding benefits coverage. There may be cases where specific pieces of information may be missing, and a person in this role will need to call the facility where the procedure was done to fill in the rest of the information. They will be verifying benefits for each patient case in queue, and will identify if there are any additional actions needed including copay, prior authorization, appeals, appointments, etc.
Skills
insurance
Top Skills Details
insurance
Additional Skills & Qualifications
Additional Skills & Qualifications
MUST HAVES:
- 2+ years of HEALTHCARE CALL CENTER experience
- Again, they MUST HAVE HEALTHCARE EXPERIENCE
• Payer experience – This means the worked at an health insurance company call center
o Like Humana, Anthem, Centene, Wellcare, BCBS, Elevance Health, United Healthcare, Optum etc
• Back office operations
o This would be in a CENTRAL BUSINESS OFFICE – not in doctor’s office / clinic
o Prior Authorization, patient access, billers, intake – Central Business office / Florida Cancer specialist Financial Counselors
Experience Level
Intermediate Level
On-Site