TekSystems is currently hiring for Fully Remote Medical Insurance Specialist Role! This position MUST sit on the EST time zone.
MUST HAVE: 2-5 years of medical insurance verification, Must have experience with all healthcare's. Must have experience on understanding patient bills and being able to understand medical benefits. EPIC experience is a HUGE plus!
Provides assistance to patients and providers by confirming and completing required pre-certification/authorizations prior to
service to ensure a positive patient/provider experience and mitigate denials.
Contributes to the achievement of established department goals and objectives and adheres to department policies,
procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program or other
departments as required.. Completes annual mandatory training (SITEL) within defined time frame.
care requirements and contracts. References the MedStar Managed Care Matrix and online Handbook as necessary.
Obtains insurance referrals and pre-authorizations. Submits all referral information to necessary providers, as
appropriate; Assists with pre-authorizations of scheduled procedures, including hospital admissions, procedures,
medications and medical equipment as required.
schedules confirms correct insurance information is available. Cross-references as needed to any application where
documentation is stored to ensure completeness of work.
obtain precertification for assigned scheduled procedures. Responds to provider/hospital staff and/or patient inquiries
regarding authorizations, and scheduling in an efficient manner.
appropriate appointment/visit and enters the required data elements to ensure that accurate billing information is
submitted to the appropriate insurance carrier. Obtains any missing pre-certification or authorization numbers and enters
into the appropriate field in the Appointment Data Form (ADF) or other required fields as necessary. Communicates if
the appointment needs to be rescheduled due to a missing Referral or Authorization number.
accurate billing information is submitted to the appropriate insurance carrier. Obtains any missing pre-certification or
authorization numbers and enters into the appropriate fields.
and communicates with designated provider staff regarding any information required to complete the authorization
requirements. This includes but is not limited to additional documentation, Peer-to-Peer requests, etc.
Certification requirement to include follow up with payers and assigned providers
2-5 years of healthcare insurance verification experience. High volume healthcare IV experience, authorizations experience is a huge plus. Understanding of all of the insurances and plans. Experience with EPIC is a HUGE plus!
Working knowledge and demonstrated proficiency in payer authorization and clearance processes.
Requires basic working knowledge of UB04, HCFA 1500 or equivalent and payer responses.
Requires some knowledge of medical terminology and CPT/IDC-9 coding.
Excellent communication, analytical, interpersonal, and organizational skills.
Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel
and Word applications.
Ability to type 35 WPM.
This is a Contract to Hire position based out of Baltimore, MD.
The pay range for this position is $20.00 - $23.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
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)
This is a Contract to Hire position based out of Baltimore, MD.
This position is anticipated to close on Nov 23, 2026.
This is a fully remote position.
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.
Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider 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.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
We’re TEKsystems and TEKsystems Global Services. We accelerate business transformation for our customers, so they can capitalize on change and master the momentum of technology. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities.
TEKsystems and TEKsystems Global Services are Allegis Group companies.
