Description The Insurance and Authorization Specialist is an Administrative support position that is considered the front line of the revenue cycle process when a patient is in need of care and they need to start the insurance verification process. The branches will put in orders for services and this person obtains benefits and insurance information, part of the ongoing authorization process to update, tracking, and documentation of necessary tasks/updates to essentially get the patient coverage clearance for Home Call (LHC) home health services performed. 90% Back office high volume, fast-paced administrative tasks/ 10% phone calls to follow up or answer questions. Formal Overview: + Obtains authorization from the payer’s case manager for services ordered/requested for prospects/ referrals promptly. + Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls, and/or email. + Obtains additional pre-certification as needed. Consult with the agency as needed for all private insurance referrals and document/communicate via the software application promptly. + Serves as a liaison between the branch location and the payer regularly. + Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner. + Accesses authorizations via email, telephone, fax, and/or online application in the most efficient and timely manner. + Resolves all customer requests, inquiries, and concerns expediently and respectfully. + Problem solves independently before referring issues to the Supervisor/Manager for resolution. + Performs eligibility and or similar, comparable, or related duties as may be required or assigned. Pay and Benefits The pay range for this position is $15.00 - $19.00/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 onsite position in Frederick,MD. Application Deadline This position is anticipated to close on Feb 19, 2025. 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.