Description:

　　Data entry position – will be working with an Excel spreadsheet to gather and transfer data to the UHC (United Healthcare) portal. Will be processing around 55/day. - Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid and third party payer requirements/online eligibility systems - Contacts insurance carries to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients - Follows up with physician office, financial counselors, patients and third party payers to complete pre-certification process - Collaborates with internal departments to provide account status updates, coordinate resolution of issues, and appeal denied authorizations - Educated patients, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements and insurance related changes or trends - Ensures all services have prior authorizations and updates patients on their preauthorization status. Coordinates peer to peer review if required by insurance - Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify ordering providers if authorization/certification is denied. - May coordinate scheduling of patient appointments, diagnostic and/or specialty appointments, tests and/or procedures - Maintains files for referral and insurance information , and enters referrals into the system - Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans

　　Skills:

　　Data entry, epic, microsoft excel, insurance authorization, UHC portal

　　Top Skills Details:

　　Data entry,epic,microsoft excel

　　Additional Skills & Qualifications:

　　Required Qualifications: - High school diploma - Proficient in Microsoft Excel - Experience with EPIC - Proven ability to meet performance metrics - Must have good attendance Preferred Qualifications: - Prior insurance authorization experience a plus - Experience in UHC portal a plus

　　Experience Level:

　　Entry Level

　　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.

　　We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email [email protected]. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.