Healthcare Claims Processing Specialist
1 week ago
Career Opportunity:
Remote after 3 weeks of Training ONSITE
Job Title: Case Review / Benefits Specialist
Industry: Medical/Insurance/Benefits
Hours: 830AM – 5PM M-F
Pay Rate: $
Training Location: Madison Heights, MI
Job Overview:
The Case Review Specialist plays a crucial role in managing communications with patients, referral sources, and verifying eligibility for medical equipment. This position is integral to the investigative team that assesses product and member-specific needs.
Key Responsibilities:
- Handle incoming calls and process customer requests for medical equipment in accordance with health plan guidelines and patient diagnoses.
- Maintain effective communication with patients and referral sources.
- Address inquiries and resolve issues raised by patients.
- Set up new patient files online, ensuring eligibility and co-pay information is accurate.
- Confirm the involvement of primary care physicians in the equipment ordering process.
- Review patient contact details for delivery accuracy.
- Ensure completeness and correctness of online orders before forwarding them to providers for fulfillment.
Experience Level:
Entry Level
About TEKsystems:
TEKsystems is a leader in technology services and talent solutions, partnering with clients to harness innovative ideas and solutions in a rapidly evolving landscape. With a workforce of 80,000, we collaborate with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. Our commitment to driving transformation through true partnership sets us apart in the industry.
TEKsystems is an equal opportunity employer, considering 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.
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