Insurance Verification Call Center

TEKsystems

. Investigate and verify patient medical and prescription insurance benefits .

Posted 10/13/2026contractRemote • Texas • United StatesSeniorLead💰 $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient medical and prescription insurance benefits verification, prior authorization processes, and effective communication with healthcare providers and insurance companies. Proficient in maintaining compliance with HIPAA and federal regulations while ensuring accurate documentation and patient support.

Highest-signal resume keywords

Prior Authorization ManagementInsurance VerificationMedical Claims ProcessingCustomer Service SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationInsurance VerificationMedical Claims ProcessingBenefit VerificationDocumentation AccuracyPatient Demographics EntryAdverse Event ReportingReimbursement ProcessesSpecialty Pharmacy OperationsFinancial Assistance Identification

Soft Skills

Strong Communication SkillsProblem-Solving SkillsOrganizational SkillsAttention to DetailAbility to Manage Multiple Tasks

Tools & Technologies

Electronic SystemsMicrosoft OfficeCall Center Software

Industry Keywords

HealthcareInsuranceReimbursementPharmacyHIPAA ComplianceFederal RegulationsState RegulationsPatient SupportCustomer Service EnvironmentInsurance Payers Collaboration

About the role

Key responsibilities & impact

Investigate and verify patient medical and prescription insurance benefits
Process and monitor prior authorizations and appeals to support medication access
Communicate referral and authorization status with patients, healthcare providers, and insurance companies via phone, fax, and electronic systems
Assist provider offices throughout the prior authorization and appeal submission process
Collaborate with insurance payers, healthcare providers, and internal teams to obtain accurate coverage information
Document interactions and insurance information accurately within company systems
Identify and communicate alternative funding and financial assistance opportunities for patients
Review benefit verification information for accuracy and determine when additional investigation is needed
Escalate complex issues to management when appropriate
Maintain compliance with HIPAA, federal and state regulations, and company policies
Enter and update patient demographics and insurance information
Identify and report potential adverse events in accordance with FDA and company guidelines
Meet or exceed quality, productivity, and performance metrics
Participate in ongoing training, process improvements, and special projects as assigned

Requirements

What you’ll need

13 years of experience in a healthcare, insurance, reimbursement, pharmacy, or customer service environment
Previous experience in a call center, healthcare office, insurance provider, pharmacy, or corporate setting
Strong customer service and communication skills
Ability to manage multiple tasks while maintaining accuracy and attention to detail
Proficiency in Microsoft Office and ability to learn new software systems quickly
Strong problem-solving and organizational skills
Access to a secure and private workspace
Pharmacy call center experience preferred
Healthcare call center experience preferred
Medical claims processing experience preferred
Insurance verification experience preferred
Knowledge of commercial and government insurance programs preferred
Understanding of prior authorizations, appeals, reimbursement processes, and specialty pharmacy operations preferred

Benefits

Comp & perks

Medical, dental & vision
Critical Illness, Accident, and Hospital coverage
401(k) Retirement Plan with pre-tax and Roth post-tax contributions
Voluntary Life & AD&D insurance 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)