Remote Care Manager

6 Month Contract to Hire

• Description

Care Manager responsibilities will vary by program and its lifecycle. Care Manager's may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and / or appeal status. Care managers may also be responsible for directly contacting patients and / or providers to evaluate eligibility for assistance programs and / or varied adherence support. This is a remote position.

Primary Responsibilities :

• Responsible for all inbound and outbound phone calls to patients and providers.

1. Responsible for single point of contact communication with providers and patients in a designated geographical area

2. Contact insurance companies to perform appropriate benefit investigation(s) and coverage eligibility for client product only

3. If applicable, assist with the prior authorizations with specific attention to detail and accuracy with provided information.

4. Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs

5. Provide courteous, friendly, professional and efficient service to internal and external customers including physicians and patients.

6. Update job knowledge by participating in educational opportunities and training activities

7. Work efficiently both individually and within a team to accomplish required tasks

8. Maintain and improve quality results by adhering to standards and guidelines and recommending improved procedures

9. Eligibility authorization and enrollment into Patient Assistance Program(s)

10. Ability to verify insurance requirements to support current billing processes

11. Demonstrate a firm grasp of medical billing processes communicating knowledge to internal and external customers

12. Identifying and providing corrective action for medical billing reimbursement support specifically to provider offices

• Skills

insurance verification, prior authorization, medical insurance, Call center

• Top Skills Details

insurance verification, prior authorization ,medical insurance

• Qualifications

High School Diploma or equivalent, some college preferred

Minimum 6 months to one year experience in medical billing, insurance verification, or similar related medical office experience

Previous data entry experience and ability to type 30wpm+

Able to demonstrate high attention to detail in work

Must be computer savvy, to include navigating multiple computer tabs, monitors and applications

Advanced ability / knowledge of all Microsoft Suite programs (Teams, Word, Excel, Outlook, etc) and soft phone systems (WebEx, Mitel, Shoretel, etc.)

Exceptional communication skills, both written and verbal

Able to work in a virtual team environment by being available and responsive during working hours

Excellent follow through

This is a remote position. Employees must have a private workspace free of distraction to adhere to HIPAA compliance / guidelines. Workspace must include internet plug-in accessibility. Wi-fi connectivity is not permitted.

A working cell phone is required for 2 step authentication verifications during the length of the assignment.

• Experience Level

Entry Level

#eastpriority25

• Pay and Benefits

The pay range for this position is $21.00 - $21.00 / 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 :

• 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)
• Workplace Type

This is a fully remote position.

• Application Deadline

This position is anticipated to close on Oct 30, 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.