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JPAP CARE COORDINATOR REVERIFICATION BLIZZARD

JPAP CARE COORDINATOR REVERIFICATION BLIZZARD

TEKsystemsMorrisville, NC, US
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Job Description

Job Description

Job Title

Care Coordinator

Summary

Experienced Care Coordinator aligned to a specific region who will manage benefit coordination, support access to prescribed therapies, and serve as the primary liaison between patients, healthcare providers, payers, and internal stakeholders.

Key Responsibilities

  • Serve as an expert resource on benefit coordination, program enrollment, affordability support, and access pathways for prescribed therapies.
  • Advocate for patients on eligibility, enrollment, and affordability, and assist providers with program-related inquiries.
  • Build and maintain trusting relationships and ongoing rapport with healthcare providers and patients.
  • Act as the primary point of contact for providers, delivering detailed program and patient information and supporting relationship development.
  • Interpret and explain payer benefits across private / commercial and government payers including Medicare, Medicaid, VA, and DOD, with strong expertise in Medicare Part B.
  • Navigate payer processes and resolve coverage barriers by asking targeted questions and escalating when appropriate.
  • Serve as an assigned liaison to client contacts and regional sales representatives.
  • Maintain accurate records in compliance with program standards and applicable regulations.
  • Follow program SOPs, call guides, and escalation procedures for complex cases.
  • Coordinate between Program Management, internal teams, and healthcare providers to communicate patient status, prescriber feedback, and program effectiveness.
  • Assess clinical and administrative situations and intervene to achieve timely results.
  • Uphold strict confidentiality, privacy, and professional ethics.
  • Contribute to team morale through a positive attitude and strong work ethic; use appropriate resources for conflict resolution.

Required Skills

  • Prior authorization management
  • Pharmacy and medication access processes
  • Medicare (including Medicare Part B) and Medicaid knowledge
  • Insurance verification and reimbursement procedures
  • Care coordination and case management
  • Insurance billing and claims basics
  • Medical terminology and patient registration
  • Data entry and call center / customer service skills
  • Proficiency with Microsoft Office and common technology platforms
  • Preferred Qualifications

  • Experience interacting directly with patients and providers.
  • Demonstrated understanding of insurance reimbursement and reverification processes.
  • Familiarity with Free Goods programs and manufacturer support offerings.
  • Background in both medical and pharmacy benefits.
  • Strong attention to detail and commitment to quality outcomes.
  • Experience Level

    2 years of relevant experience.

    Pay and Benefits

    The pay range for this position is $24.00 - $24.00 / 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 hybrid position in Morrisville,NC.

    Application Deadline

    This position is anticipated to close on Oct 20, 2025.

    h4>

    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.

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    Care Coordinator • Morrisville, NC, US

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