Insurance Eligibility Specialist

A top medical center is urgently hiring

Description : The Eligibility Specialist / Authorization Coordinator will perform all routine verification functions in addition to other duties for authorizations and referrals clearance.

• Verifies insurance eligibility, benefits, pre-certifications, prior authorizations, and referrals requirements for scheduled outpatient services via telephone and / or insurance websites.
• Obtains patient information to facilitate the verification of the unique patient identifiers for clinical purposes, the billing and collections process, and compliance with state and federal regulator requirements.
• Obtains any required pre-certifications, prior authorizations, and referrals from insurance companies, primary care physicians, and families.
• Estimates self-pay portions after benefits have been determined (, deductibles, co-pays, non-covered services, etc.).

Top Skills :

Prior authorization, eligibility, insurance, referrals, insurance verification

Monday-Friday first shift

Opportunity for hybrid AFTER 6 months

Direct Placement - NO contract

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.

Last updated : 2024-04-30