Insurance Eligibility Specialist

TEKsystems•Mountain View, CA

1d•$23 - $23•Remote

About The Position

The Insurance Eligibility Specialist will manage inbound insurance tickets for both members and providers. This role involves handling inquiries related to accepted insurance plans, client volume questions, and provider status with payors. Additionally, the specialist will address customer inquiries concerning insurance discrepancies, adding insurance, and complex billing, bug-related, or investigative issues. Communication will primarily be via email, with some limited phone support. The team currently handles 250-300 email/tickets daily, with an expectation of increase. The role is a contract-to-hire position.

Requirements

2+ year of healthcare experience
Experience working with health plans
Knowledge of: Billing, EOBs, Deductibles, copays, coinsurance
Flexible and adaptable in a fast-changing environment
Ability to take feedback well
Comfortable with shifting priorities and evolving processes

Responsibilities

Manage inbound insurance tickets across members and providers
Handle provider inquiries such as: Accepted insurance plans, Client volume questions, Status with payors
Handle customer inquiries such as: Insurance discrepancies, Adding insurance, Complex billing, bug-related, or investigative issues
Communicate primarily via email, with some phone support
Start with email-based support
Gradually increase complexity of tickets
Transition into phone support once comfortable (limited support)