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Important note: the first 1-2 weeks of training will be onsite, the first 2 days will be in Sterling, VA and the next few days will be in Silver Spring, MD. After training this will be 100% remote.

Description

Overview:

This role focuses on post-billing follow-up for hospital claims that remain unpaid after 180 days. The specialist will investigate outstanding claims, determine the necessary next steps, and coordinate resolution efforts. While minimal use of the client’s internal billing system is expected, the specialist will either guide in-house billers on corrections or directly contact insurance providers via phone or web portals. Updates will be documented in the internal system to facilitate billing or appropriate write-offs.

Key Responsibilities:

+ Review and follow up on aged hospital claims (180+ days)

+ Investigate claim status and determine resolution steps

+ Communicate with insurance companies via phone or online portals

+ Collaborate with internal billing teams to correct and resubmit claims

+ Update claim status in the internal system

+ Handle patient outreach when claims are determined to be patient responsibility

+ Submit medical records, correct claim errors, and obtain retro authorizations as needed

Daily Expectations:

+ Process 20–30 claims per day once fully trained

+ Work with a variety of payers, primarily Medicaid, CareFirst BCBS, Cigna, and Aetna

Customer Service & Collections Duties:

+ Make outbound and receive inbound calls

+ Resolve outstanding account balances using internal systems

+ Maintain organized work files for account tracking

+ Provide empathetic and effective customer service to patients

+ Conduct skip tracing to locate debtor contact information

+ Follow up with insurance providers for claim resolution

+ Meet or exceed monthly productivity and performance goals

Required Skills & Qualifications:

+ Strong customer service and communication skills

+ Ability to navigate multiple computer systems simultaneously

+ Familiarity with HIPAA, FCRA, FDCPA, and other compliance standards

+ High school diploma or equivalent

+ Experience with Cerner or similar healthcare billing systems

Preferred Experience:

+ Prior experience in medical billing, collections, or accounts receivable

+ Exposure to high-volume call environments

+ Knowledge of payer-specific requirements and claim resolution processes

Pay and Benefits

The pay range for this position is $37440.00 - $41600.00/yr.

General Benefits, can send

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 23, 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.