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Description

This team is 100% remote and looking for candidates with prior authorization experience, experience working major insurance and web portals, and experience reading clinical documents. This team supports all provider locations in the state of Iowa with their prior authorization work. Candidates can sit anywhere but must be comfortable working Central time zone hours.

This position is responsible for reviewing financial/insurance information obtained to meet State, Federal and Third-Party billing requirements to ensure reimbursement for services.

Daily Duties:

Uses insurance and web portals to authorize insurance carriers. Experience working with BCBS, UHC, Medicare, Tricare, Wellmark, ITC Wellpoint, etc., would be very relatable.

Prepares accurate reports and provides departmental summary information for Patient Access Team that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained

Responsible for satisfying admission notice requirements for pre-certification/authorization for HMO/commercial payers in order to meet contractual agreements to avoid penalties

Responsible for editing, updating and timely filing of all new information gathered for each admission. In addition, assists patients with billing related inquiries if necessary

Appeals denied claims for related services, drugs, treatments and supplies. Obtains authorizations for related services, drugs, treatments and supplies

•Assists interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization

Additional Skills & Qualifications

High School Diploma

Prior authorization experience - 1+ years

Experience working with insurance and web portals - 1+ years

- BCBS, UHC, Medicare, Tricare, Wellmark, etc.

Experience Level

Intermediate Leve

Pay and Benefits

The pay range for this position is $18.00 - $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:

• 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 Jul 25, 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.