TEKsystems · 11 hours ago
Benefits Verification Specialist
TEKsystems is a leading provider of business and technology services, and they are seeking a Benefits Verification Specialist to support Penial Implant surgeries. The role involves verifying benefits, obtaining prior authorizations, and advocating for customers regarding their coverage needs.
Information Technology
Responsibilities
Act as an advocate for our customers as it relates to coverage
Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers
Obtain authorization, or pre-certifications required for patients to access coverage for Interventional Urology products
Knowledge of commercial payers, Medicare and Medicaid and their benefit structure(s)
Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity
Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends
Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating appeals if required by insurance payer
Maintains knowledge of the following: Medicare, Medicaid and Commercial payer requirements, guidelines, and policies
Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients
Work with customers if an exception to coverage is needed
Answer incoming calls from customers / patients and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner
Other duties as assigned by the management team
Qualification
Required
HS Diploma
3+ years of experience with medical insurance verification background
Knowledge of insurance benefit verification requirements, guidelines and policies, insurance plans requiring pre-authorization
Experience in a health care related industry
Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients
Prior authorization
Customer service
Support
Claims processing
Insurance
Benefits verification
Appeals
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
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 StageRecent News
Morningstar.com
2026-02-03
2025-11-19
2025-10-29
Company data provided by crunchbase