Benefits Verification Specialist

(hybrid schedule eligible after 6 months) Schedule: Monday – Friday, 8am – 4:30pm. Location: Tampa, FL (Westshore). Work Environment: In‑office Monday – Friday. Hybrid schedule eligible after 6 months. 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 elevate 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. Skills Health insurance, customer service, health care, call center, patient access, benefits verification Additional Skills & Qualifications High school diploma/GED equivalent 2+ years of healthcare call center experience 2+ years experience with insurance verification Job Type & Location Contract position based out of Tampa, FL. Pay And Benefits Pay range: $23.00 - $23.00 per hour. 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 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 Fully onsite position in Tampa, FL. Application Deadline This position is anticipated to close on Jul 17, 2026. Equal Opportunity Employer Statement 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. #J-18808-Ljbffr TEKsystems