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.
Benefits Verification Specialist
Location
United States
Posted
3 days ago
Salary
$23 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Benefits Verification Specialist
TEKsystems
Role Description Manage inbound and outbound communications with healthcare providers, physician offices, specialty pharmacies, and health insurance plans regarding patient insurance benefits and coverage details. - Verify patients' medical and pharmacy insurance benefits, including eligibility, coverage limitations, copayments, deductibles, coinsurance, and out-of-pocket responsibilities. - Conduct outreach to providers, insurance carriers, and other stakeholders to obtain required documentation, benefit verifications, and prior authorizations. - Review patient cases and accurately assess insurance requirements, identifying any additional actions needed to facilitate access to treatment or services. - Coordinate and track prior authorizations, appeals, referrals, and other reimbursement-related activities to ensure timely resolution. - Document all interactions, benefit information, authorization statuses, and case updates in the appropriate systems. - Identify coverage gaps, insurance denials, or reimbursement barriers and escalate issues as necessary. - Schedule or coordinate follow-up activities, including provider outreach, patient communication, and appointment-related insurance requirements. - Maintain compliance with HIPAA regulations and company policies when handling protected health information. Qualifications - HS Diploma/GED Equivalent - 2+ years of healthcare call center experience - 2+ years experience with insurance verification Requirements - This is a Contract position based out of Charlotte, NC. Benefits - 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) Company Description 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.
Related Guides
Related Categories
Related Job Pages
More Human Resources Jobs
Role Description Our organization is looking for a dynamic HR Manager to lead our people operations during an exciting phase of growth. As a hands-on generalist, you will own the full employee lifecycle end-to-end, partnering with leadership to build scalable processes and a premier staff experience. Qualifications - 3–5 years of HR experience, with at least 2 years as a generalist owning multiple functions. - Required: Strong working knowledge of California and Arizona state employment laws. - Desired: Proficiency in Rippling HRIS. - Desired: High growth, or start-up experience. - Required: Availability for full-time work within Pacific Time Zone business hours. - Experience in healthcare or regulated industries is highly preferred. - Bachelor’s degree or equivalent experience; HR certification (PHR/SHRM-CP) is a plus. - Exceptional communication skills and discretion with confidential information. Requirements - Compliance & Payroll: Manage multi-state compliance, own full-cycle payroll in Rippling, and maintain audit-ready records. - Talent Acquisition: Drive full-cycle recruiting from JD creation to onboarding top-tier talent. - Employee Experience: Administer benefits, design engagement programs, and support professional development. - Strategic Partnership: Serve as the primary HR resource for managers, providing coaching on performance and policy. Benefits - Competitive salary of $65,000 – $75,000. - Comprehensive benefits package including health plans. - 401(k). - Generous PTO. - Remote-first work environment. How to Apply Ready to make an impact? To apply, please schedule a call via this link or email your resume to gethired@seasonedrecruitment.com .
Contingent Workforce HR Strategy Design Leader
Kaiser PermanenteKaiser Permanente is comprised of numerous regional Permanente Medical Groups, the Kaiser Foundation Hospitals, and the Kaiser Foundation Health Plan to make up
Role Description This role is part of the Contingent Talent Management Program (CTMP), which supports the organization’s approach to engaging contingent labor to improve operational efficiency, cost management, and workforce flexibility. This role operates within a centralized function that partners closely with business leaders, supply chain, finance, and external suppliers to support workforce needs across a variety of functions and locations. This position is an individual contributor role within a broader program structure and collaborates with cross-functional partners to support the planning and execution of contingent workforce strategies. - Contributes to large-scale, project-based workforce initiatives by aligning business needs with appropriate talent engagement approaches. - Supports processes associated with onboarding, lifecycle management, and vendor coordination. - Plays a key role in supporting consistent processes and enterprise-wide standards for engaging contingent labor. - Works across internal stakeholders and external partners to ensure effective execution of program objectives. Qualifications - Minimum five (5) years experience in a leadership role with or without direct reports. - Bachelors degree in Human Resources, Business, Social Science, Public Administration or related field. - Minimum ten (10) years experience in human resources, business operations, or a field specified in the job posting. - Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Requirements - Practices self-leadership and promotes learning in others by soliciting and acting on performance feedback. - Builds collaborative, cross-functional relationships; communicates information and provides advice to drive projects forward. - Adapts to competing demands and new responsibilities; provides feedback to others, including upward feedback to leadership. - Influences, mentors, and coaches team members; fosters open dialogue amongst team members. - Evaluates and responds to the strengths and weaknesses of self and unit members; adapts to and learns from change, difficulties, and feedback. - Drives the execution of multiple work streams by identifying customer and operational needs. - Develops and updates new procedures and policies; gains cross-functional support for objectives and priorities. - Translates business strategy into actionable business requirements; obtains and distributes resources. - Sets standards and measures progress; removes obstacles that impact performance. - Guides performance and develops contingency plans accordingly; solves highly complex issues. - Delivers on strategic direction for the business in support of designated functional HR area. - Stays abreast of internal and external perspectives, data trends, HR laws and regulations, and best practices. - Engages with HR and business stakeholders to provide insight, input, and influence on current and future HR and business needs. - Manages complex projects/programs including assisting with design and developing project plans. - Polls data and conducts complex analysis; creates and facilitates presentations to HR and business leadership. - Maintains performance against SLAs and other key performance indicators. - Designs, develops, and executes HR practices, programs, and initiatives. - Develops and implements tools, systems, and programs; ensures the coordinated and timely execution of activities. - Identifies and raises gaps in execution or communication; creates and deploys contingency plans to resolve implementation issues. - Monitors and measures performance against plans and business objectives; recommends modification to design and implementation strategies as appropriate. Company Description
Human Resources Assistant
Fonction publique TerritorialeVision stratégique et capacité d’analyse; Rigueur et sens de l’organisation; Pédagogie et capacité d’accompagnement des services; Capacité à travailler en transversalité; Force de proposition.
Role Description Placé(e) sous l’autorité du Responsable des Ressources Humaines, l’assistant(e) RH assure la gestion administrative et statutaire des agents de la collectivité, participe à la gestion de la paie et garantit la fiabilité des données RH dans le respect du statut de la Fonction Publique Territoriale. - Gestion de la paie : collecte et contrôle des variables, préparation et construction des bulletins de paie, contrôle, mandatement en lien avec les finances (Logiciel Odyssée) - Établissement et suivi de la DSN. - Déclarations auprès des organismes : mutuelle, prévoyance, Relyens, URSSAF, caisses de retraite et autres partenaires. - Gestion administrative des dossiers individuels des agents (création, mise à jour, classement, archivage). - Constitution des dossiers des nouveaux agents : DPAE, contrats, arrêtés, affiliation, visites médicales, mutuelle, prévoyance. - Élaboration et suivi des contrats, arrêtés, avenants et actes administratifs. - Gestion des absences : congés maladie ordinaires (CMO), accidents de service, congés longue maladie, maternité, paternité, temps partiel thérapeutique, suivi des IJ et déclarations. - Gestion du RIFSEEP : préparation, mise à jour et suivi. - Gestion du COS : adhésions, suivi des dossiers et information des agents. - Suivi des temps de travail, absences et logiciel RH. - Accueil physique et téléphonique. - Participation aux campagnes RH (entretiens professionnels, avancements, promotions, médailles, élections professionnelles, RSU). - Veille statutaire et réglementaire. - Polyvalence et continuité du service RH en fonction des nécessités. Qualifications - Connaissance du statut de la Fonction Publique Territoriale. - Connaissance globale RH. - Connaissance de la réglementation relative à la paie, aux carrières et aux absences. - Connaissance des logiciels RH, paie et bureautique (Word, Excel). - Connaissance des déclarations sociales (DSN) et organismes partenaires. Requirements - Élaborer et contrôler une paie. - Rédiger des actes administratifs (contrats, arrêtés). - Gérer un dossier individuel d'agent. - Appliquer les procédures statutaires et réglementaires. - Assurer un suivi rigoureux des échéances. Benefits - Discrétion professionnelle et respect de la confidentialité. - Rigueur, organisation et autonomie. - Sens du service public. - Qualités relationnelles et travail en équipe. - Capacité d’adaptation et de gestion des priorités.
Role Description - Lead and manage the end-to-end implementation of Deel’s solutions for enterprise clients. - Collaborate with clients to understand their business needs and design customized solutions that align with their goals. - Provide expert guidance and support during the implementation process, ensuring timely and successful delivery. - Coordinate cross-functional teams (product, engineering, customer success) to ensure seamless project execution. - Conduct system configurations, data migrations, and integrations, ensuring that client environments are properly set up. - Manage client relationships throughout the implementation lifecycle, addressing any concerns and ensuring client satisfaction. - Develop and deliver training materials and sessions to clients, ensuring their teams are equipped to use Deel’s solutions effectively. - Identify and resolve technical issues that arise during implementation, providing solutions and escalation where necessary. - Track and report on implementation progress, providing regular updates to clients and senior leadership. - Continuously improve implementation methodologies and processes to increase efficiency and customer satisfaction. Qualifications - 5+ years of experience in implementation consulting or project management, with at least 3 years working in a senior or leadership role. - Proven track record of successfully managing and delivering complex, enterprise-level implementations. - Strong technical background with hands-on experience in system configurations, integrations, and data migrations. - Excellent project management skills, with experience managing multiple client projects simultaneously. - Strong communication and presentation skills, with the ability to engage with senior client stakeholders. - Experience working in a SaaS or technology-driven environment. - Ability to solve complex problems and think critically to drive solutions during implementation. - Strong leadership and mentoring skills, with experience guiding and supporting junior team members. - High attention to detail and ability to manage multiple priorities in a fast-paced environment. - Bachelor’s degree in Business, Information Technology, or a related field; advanced degree or relevant certifications are a plus. Requirements - 5+ years of experience in implementation consulting or project management, with at least 3 years working in a senior or leadership role. - Proven track record of successfully managing and delivering complex, enterprise-level implementations. - Strong technical background with hands-on experience in system configurations, integrations, and data migrations. - Excellent project management skills, with experience managing multiple client projects simultaneously. - Strong communication and presentation skills, with the ability to engage with senior client stakeholders. - Experience working in a SaaS or technology-driven environment. - Ability to solve complex problems and think critically to drive solutions during implementation. - Strong leadership and mentoring skills, with experience guiding and supporting junior team members. - High attention to detail and ability to manage multiple priorities in a fast-paced environment. - Bachelor’s degree in Business, Information Technology, or a related field; advanced degree or relevant certifications are a plus. Company Description Dear recruiters there is no need to edit this.

