Medical Customer Service / Case Review

Career Opportunity: Remote after 3 weeks of Training ONSITE

Job Title: Case Review / Benefits Specialist

Industry: Medical/Insurance/Benefits

Hours: 830AM – 5PM M-F

Pay Rate: $15.50/HR

Training Location: Madison Heights, MI

Start Date Expected: November 2024

Interview Date: End of October 2024

Weekends: No

Benefits: Yes

Permanent: Yes

Contract to Hire: 90-day contract to hire period

Computer Provided: Yes

Must Have:

– 1 year of healthcare/medical insurance related office experience.

Job Description:

The case review specialist is responsible for performing all tasks relevant to

in-house communications with the patient/client, referral source, and

verification of eligibility, co-pay and coordination of setup with company

providers. In addition, this person is part of the investigative team that

researches product and member special needs.

Principal Duties and Responsibilities:

Answer incoming phone calls and input customer requests for equipment according to the health plan criteria and diagnosis.

Maintain open line of communication with patients/clients, and referral sources

Respond to patient/client questions and problems.

On-line set-up of new patient/client files, verifying eligibility information and co-pays

Verification of PCP involvement in ordering equipment

Review of members address and telephone number for delivery

Reviews on-line order for completeness and accuracy before faxing order to provider for set-up

Experience Level:

Entry Level

Experience Level:

Entry Level

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.