Insurance Eligibility Specialist

TEKsystemsTampa, FL
$23 - $23Remote

About The Position

We’re looking for a detail-oriented and customer-focused Insurance Support Specialist to join a growing team within a leading mental health organization. This is a fully remote opportunity where you’ll play an important role in supporting both providers and members with insurance-related inquiries. If you enjoy problem-solving, working in a fast-paced environment, and helping people navigate healthcare billing and insurance questions, this could be a great fit!

Requirements

  • 2+ years of experience in healthcare
  • Experience working with health plans
  • Strong knowledge of: Medical billing processes, EOBs (Explanation of Benefits), Deductibles, copays, and coinsurance
  • Adaptable and flexible in a fast-changing environment
  • Open to feedback and continuous improvement
  • Comfortable with shifting priorities and evolving processes
  • Strong written communication skills
  • Candidates must confirm their preferred schedule and start time during the hiring process

Nice To Haves

  • Gradually take on more complex cases
  • Transition into limited phone support once comfortable

Responsibilities

  • Manage a high volume of inbound tickets and inquiries, primarily via email, with some phone support over time.
  • Respond to insurance-related tickets from both members and providers.
  • Support providers with questions such as: Accepted insurance plans, Client volume inquiries, Status with payors.
  • Assist customers with: Insurance discrepancies, Adding or updating insurance information, Billing questions, system-related issues, and more complex investigations.
  • Communicate primarily through email, with limited phone support as you progress.
  • Manage a fast-paced workload (team currently handles 250–300 tickets daily, and growing).

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)
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