Healthcare Call Center
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Job Description
Remote Client Coordinator processing medical records, insurance documentation, and CMS cases for TEKsystems’ healthcare services. Coordinating providers, clients, databases, and compliance workflows.
Responsibilities:
- Process cases through CMS and client portals by entering, reviewing, and verifying eligibility and case information.
- Retrieve medical records from external client systems and upload documentation into internal databases.
- Review records and supporting documentation for completeness, accuracy, and compliance.
- Prepare, enter, track, and maintain case information across multiple systems and databases.
- Respond to client inquiries regarding case status, reports, documentation requirements, and general requests.
- Communicate with internal teams regarding pending reports, case progress, and workflow updates.
- Coordinate with physicians, providers, and clinicians to assign cases and obtain required documentation.
- Monitor case timelines and ensure information is accurately documented and updated.
- Support the Independent Dispute Resolution (IDR) process by reviewing documentation before clinical review.
- Maintain confidentiality and comply with HIPAA, CMS requirements, and company policies.
- Perform data entry, filing, documentation management, and administrative support functions.
Requirements:
- High school diploma or equivalent.
- Strong data entry and administrative experience.
- Excellent attention to detail and document review skills.
- Strong written and verbal communication abilities.
- Ability to navigate multiple systems and databases simultaneously.
- Comfortable working with medical records, insurance documentation, and confidential information.
- Strong computer skills and proficiency with Microsoft Office applications.
- Reliable internet connection and a private workspace suitable for remote work.
- Demonstrated ability to manage deadlines and maintain accuracy in a high-volume environment.
- Previous experience in healthcare, insurance, utilization review, medical records, claims processing, or case coordination preferred.
- Experience reviewing contracts, legal documents, or detailed reports preferred.
- Familiarity with CMS portals, eligibility verification, or healthcare administrative processes preferred.
- Experience working with regulatory and compliance-driven documentation preferred.
- Knowledge of HIPAA and healthcare privacy requirements preferred.
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)
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