Eligibility Specialist jobs in United States
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TEKsystems · 1 day ago

Eligibility Specialist

TEKsystems is a leading provider of business and technology services, and they are seeking an Eligibility Specialist to join their team in Frederick, MD. The role involves obtaining authorization from payers, documenting details related to authorizations, and serving as a liaison between the branch and payers.

Information Technology
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H1B Sponsor Likelynote

Responsibilities

Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner
Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email
Obtains additional pre-certification as needed. Consults with the agency as needed for all private insurance referrals and documents/communicates via the software application in a timely manner
Serves as a liaison between the branch location and the payer on a regular basis
Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner
Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner
Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner
Problem solves independently before referring issues to the Supervisor/Manager for resolution
Performs eligibility and or similar, comparable, or related duties as may be required or assigned

Qualification

Medical AdministrationCustomer ServiceEMR experienceDocumentationProblem Solving

Required

2+ years experience in Medical Administration or Customer Service
Diploma or GED required

Preferred

EMR experience preferred

Benefits

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)

Company

TEKsystems

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At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,

H1B Sponsorship

TEKsystems has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (46)
2024 (52)
2023 (33)
2022 (22)
2021 (36)
2020 (53)

Funding

Current Stage
Late Stage

Leadership Team

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Ryan Skains
Vice President, TEKsystems Global Services
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Company data provided by crunchbase