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As the Benefits SpecialistIf you’re ready to explore the next step in your career:You’ll enjoy…Career Opportunities – Tons of growth opportunities for your careerStandard Hours – 100% in office role (hybrid post-training). Monday-Friday with shifts ranging (8:00am-11:00pm) Competitive Pay - $18.00-$22/hr (depending on experience)Expedited Interviews – Access to additional Resume support and pre-interview questionsGreat Benefits – Take advantage of a benefits package (Dental, vision, 401k), PTO, etcTop Local Company – Join one of the largest employers and hospitals within the Hampton Roads areaA day in the role…
Performing patient level benefits verifications for all major medicals and pharmacy benefit plans
Completion of template forms that provide patent level benefits Coverage Determination Summary
Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance
Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOP's and program guidelines
Determination of patient's eligibility based upon program criteria for qualification
Communicating the patient's eligibility to the patient, healthcare provider and/or consignment pharmacy.
Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals
Actively listen to each customer, assess needs and respond with demonstrated patience and courtesy
Review and identify information that is missing and/or incorrect within program service requests
Necessary Skills and Strengths:Strong Computer Skills | Medical Terminology | Patient Registration | Medical Insurance Knowledge | Insurance Payer Knowledge | Benefits Administration | Call Center | Pharmacy Benefits | Multi-Tasking | Fast Paced EnvironmentCore Experience:
Customer Service Experience
Healthcare Experience
Insurance Payer Experience (6+ months)
Prior Authorization
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.We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email mpowers@teksystems.com. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.
