Claims And Billing Specialist (Healthcare) at TEKsystems

TEKsystems has a new and exciting Reimbursement Specialist opportunity in Cary, North Carolina!

Job Description:

The Reimbursement Specialist is an important role in the Pharmacy Operations and is responsible for handling inbound and outbound calls to primary providers and insurance to process claims and resolve any healthcare billing issues. The ideal candidate is a well-spoken, enthusiastic, and organized person with the ability to provide high level of customer service to our patients, clinicians, and clients.

Essential Duties and Responsibilities

• Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives.
• Contact insurance companies to verify eligibility coverage for drug benefits.
• Function as a liaison between special drug program patients & their insurance companies.

Qualifications/Requirements

• High School Diploma or GED with minimum of associate degree preferred.
• Candidate should have 1+ years experience of the following):
  • Claims Processing (Pharmacy)
  • Reimbursement (Pharmacy)
  • Customer Service Call Center
• At least 1 year of Pharmacy Experience or working with Health Insurance but not required.
• Experience with Benefits Investigation, Copay Assistance, Prior Authorization, Claims Adjudication is also a plus but not required.

Benefits:

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)

Experience Level:

Entry Level

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.