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Insurance Benefits Specialist

1 month ago

Appleton, Wisconsin, United States TEKsystems Full time
Job Overview

At TEKsystems, we are seeking an experienced Insurance Benefits Coordinator to join our team. This role plays a critical part in ensuring the smooth delivery of therapy services by providing essential support services.

About the Role

This is a fully onsite position located in Appleton, WI. The successful candidate will be responsible for verifying insurance coverage, tracking authorization deadlines, and obtaining therapy referrals.

Key Responsibilities
  • Verify all therapy patients' insurance coverage and document it accordingly in patient charts.
  • Manage insurance authorizations and Medicare/Medicaid compliance.
  • Check for referrals and therapy visit authorizations.
  • Fax or utilize insurance website portals to request authorization of therapy visits.
  • Monitor number of therapy visits used within EMR systems.
  • Inform therapists of insurance requirement changes and coverage limitations on a case-by-case basis.
  • Perform designated tasks listed in 'PT only' and 'No Therapy Coverage' policies.
  • Fax/upload into Forward Health portal and review Medical Assistance prior authorization forms. Contact Medical Assistance as needed regarding patients and covered services.
  • Document information disclosure as needed when faxes are sent out.
  • Maintain daily communication with the therapy team.
  • Communicate work completion status and help needs with team members as required.
Working Conditions

This is a Monday-Friday, 8am-5pm CST position with a competitive salary range of $19.00/hr.

The package also includes:

  • Medical, dental & vision benefits
  • Critical Illness, Accident, and Hospital benefits
  • 401(k) Retirement Plan – pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for employees and dependents)
  • Short and long-term disability benefits
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
About Us

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

We are an equal opportunity employer and welcome applications from diverse candidates.