Insurance Specialist

4 days ago

Bountiful, United States TEKsystems Full time
Job DescriptionJob DescriptionInsurance Specialist needed with healthcare organization, SLC - Utah

Job Description

As an Insurance Specialist, you will conduct insurance verification and eligibility for services, assist in obtaining or validating pre-certification and authorizations, and inform patients of their financial obligations and eligibility. You will develop and maintain a working knowledge of current Medicare, Medicaid, and insurance regulations, assist with problem resolution on claims, billing, and eligibility issues with carriers, and answer incoming phone calls from clinics to verify coverage and copays in a courteous manner.

Responsibilities
  • Conduct insurance verification and eligibility for services.
  • Assist in obtaining or validating pre-certification and authorizations.
  • Inform patients of their financial obligations and eligibility.
  • Develop and maintain a working knowledge of current Medicare, Medicaid, and insurance regulations.
  • Assist with problem resolution on claims, billing, and eligibility issues with carriers.
  • Answer incoming phone calls from clinics to verify coverage and copays in a courteous manner.
Essential Skills
  • 1+ year of health insurance experience.
  • 1+ year of customer support experience.
  • Experience in claims, patient access, medical billing, prior authorization, medical coding, claims processing, call center, healthcare industry, prior authorization, ICD-9 codes, or CPT coding.
Additional Skills & Qualifications
  • High school graduate or equivalent.
  • Excellent customer service skills, both in-person and over the phone.
  • Ability to work independently and as part of a team.
  • Basic computer knowledge.
  • Excellent organizational and analytical skills.
  • Ability to multitask in a fast-paced environment.
  • Good verbal and written communication skills.
  • Basic understanding of medical ICD-9 codes and CPT medical billing codes.
  • Comprehensive knowledge of homecare, hospice, and skilled nursing reimbursement guidelines.
  • Previous experience related to insurance authorization, billing, and rate negotiation preferred.
Why Work Here?

We offer a comprehensive benefits package that includes a 401(k) plan, dental, health, vision, and life insurance, and paid time off. Our positive work environment and abundant career opportunities make this a great place to grow your career.

Work Environment

This position operates on a Monday-Friday schedule with rotating shifts from 8:30-5:00 and 9:30-6:00. You will also be scheduled to work Saturdays approximately every six weeks.

Job Type & Location

This is a Contract to Hire position based out of Woods Cross, Utah.

Pay and Benefits

The pay range for this position is $19.00 - $19.00

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

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

Workplace Type

This is a fully onsite position in Woods Cross,UT.

Application Deadline

This position will be accepting applications until Jan 14, 2025.

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.

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