Benefits Verification Specialist

Job Description

Job Description

Description

Medical Device Manufacturer is expanding their services to support Penial Implant surgeries. This group will take on the extra work to support their customers getting coverage for their surgery. This program was created just a year ago and they're experiencing more than double the volume and expecting more.

This program verifies benefits and works on prior authorization. Working directly with physician offices regarding coverage for surgery.

Job responsibilities for the Benefit Verification Specialist

• 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.

Skills

Prior authorization, Customer service, Support, claims processing, insurance, benefits verification, appeals

Top Skills Details

Prior authorization, Customer service, Support

Additional Skills & Qualifications

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.

Experience Level

Expert Level

Pay and Benefits

The pay range for this position is $20.00 - $25.00 / hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following :

Workplace Type

This is a hybrid position in Minneapolis,MN.

Application Deadline

This position is anticipated to close on Nov 11, 2025.

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About TEKsystems :

We're 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. That's 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.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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