Clinical Insurance Reviewer (Remote In TX) Job at TEKsystems, Austin, TX

VTh4NGlaWDhqZVk3YlNUYXZYeHZ1OHlmZ1E9PQ==
  • TEKsystems
  • Austin, TX

Job Description

*Description*

* Review and audit chemotherapy regimens for medical necessity and pathway adherence.
* Communicate insurance requirements to clinical staff and resolve documentation or coverage issues.
* Maintain and update coding and payer guidelines.
* Obtain authorizations and act as a liaison between patients and payers.
* Research alternative resources for non-covered services and provide community support contacts.
* Stay current on payer policies and regulatory guidelines; ensure HIPAA compliance.
* Perform other duties as assigned.
*Additional Skills & Qualifications*
High school degree or equivalent.
Associates degree in Healthcare, LPN state license and registration preferred.
Minimum three (1-3) years of radiation, chemo, OR surgery medical insurance verification and authorization required.
*Experience Level*
Expert Level
*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 fully remote position.
*Application Deadline*
This position is anticipated to close on Oct 24, 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.

Job Tags

Temporary work,

Similar Jobs

Sodexo Canada Ltd

1st Cook-Breakfast Position 5am start: Downtown Toronto: Full Time Job at Sodexo Canada Ltd

 ...for a 1st Cook ; please note that all employees will require background checks clearance -Hourly Rate: $23-Prestigious client -Downtown Toronto accessible by public transportation. Looking for a change, an opportunity to show your exceptional skills, a chance to help... 

United Parcel Service

Package Handler - No Interview Required Job at United Parcel Service

Package Handler - No Interview Required at United Parcel Service summary: This role involves loading and unloading packages in UPS trailers and trucks during peak seasonal periods. Workers must be physically able to lift up to 70 lbs and work effectively in a fast-paced...

Hilton

Safety & Security Supervisor (Supervisor) @ Hilton Okinawa Miyako Island Resort Job at Hilton

 ...nce in a supervisory position. Able to communicate effectively and clearly. Good knowledge of the hotels life-safety systems, fire equipment and security operations. Excellent leadership skills. Strong interpersonal skills and ... 

Elkader Care Center

Nursing Home Administrator Job at Elkader Care Center

 ...Job Description Job Description Elkader Care Center is proactively seeking a nursing home Administrator to lead its team in Elkader, Iowa. If you are the type of person that is motivated to bring accountability, is highly organized, and ensures compliance is consistently... 

Qidni Labs

Chemistry Senior Scientist H/F Job at Qidni Labs

 ...and Research Excellent problem-solving and critical thinking abilities Ability to work collaboratively in a team environment Advanced degree in Chemistry or a related scientific field Previous experience in the medical device or healthcare industry is an asset...