Continued Qualifications Specialist

Continued Qualifications Specialist

Location: Blue Bell, PA

Schedule: Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM

Work Setting: 100% Onsite

About the Opportunity

We are seeking a detail-oriented and customer-focused Continued Qualifications Specialist to join our growing healthcare operations team in Blue Bell, PA. In this role, you will help ensure patients receiving home-based therapy continue to meet insurance and coverage requirements, allowing them to maintain uninterrupted access to care.

This is an excellent opportunity for someone with experience in healthcare insurance verification, authorizations, patient access, medical billing, or reimbursement who enjoys problem-solving, working directly with patients and providers, and making a meaningful impact on patient outcomes.

Responsibilities

• Serve as a primary point of contact for patients, healthcare providers, insurance carriers, and internal teams.
• Contact patients to verify ongoing therapy usage, insurance coverage, and provider information.
• Obtain and manage medical documentation required to support continued insurance coverage and authorization.
• Review patient eligibility based on payer guidelines, clinical requirements, and coverage limitations.
• Manage insurance reauthorization activities and ensure timely submission of required documentation.
• Maintain accurate records of patient information, authorizations, insurance details, and communication activities.
• Partner with billing and reimbursement teams to support accurate and timely claims processing.
• Investigate and resolve insurance-related issues, including authorization delays and denials.
• Escalate concerns that may impact patient care, reimbursement, or claim submission timelines.
• Ensure compliance with HIPAA, payer requirements, and healthcare regulations.
• Identify opportunities to improve workflows and contribute to operational excellence initiatives.

Qualifications

• Experience in insurance verification, authorizations, healthcare administration, medical billing, reimbursement, patient access, or a related healthcare setting.
• Strong understanding of insurance processes and documentation requirements.
• Ability to communicate effectively with patients, providers, and insurance representatives.
• Excellent organizational skills and attention to detail.
• Strong problem-solving and critical thinking abilities.
• Ability to prioritize multiple tasks and meet deadlines in a fast-paced environment.
• Proficiency with healthcare systems and documentation management.
• Commitment to delivering exceptional customer service.

What We're Looking For

• Highly organized and thrives in a detail-driven environment.
• Enjoys solving complex insurance and authorization challenges.
• Takes ownership of work and follows through on critical tasks.
• Collaborative, proactive, and dependable team player.
• Strong relationship-building skills with patients, providers, insurance representatives, and internal teams.
• Passionate about helping patients maintain access to the care they need.

Why Join Us?

• Family-owned organization with a people-first culture.
• Strong opportunities for career growth and internal advancement.
• Leadership team committed to patient advocacy and exceptional care.
• Brand-new, state-of-the-art office environment.
• Annual company holiday celebration.
• Recognition events including Nurses Week and Customer Service Appreciation Week.
• On-site cafeteria with convenient meals, snacks, and beverages.
• Supportive leadership and a collaborative team environment where employees are valued.

Make a Difference

If you're passionate about healthcare, enjoy navigating insurance processes, and want to play a critical role in helping patients continue receiving essential therapy, we'd love to hear from you. Join a company that truly puts patients and employees first while offering long-term growth and career development opportunities.

Job Type & Location

This is a Contract to Hire position based out of Blue Bell, PA.

Pay and Benefits

The pay range for this position is $22.00 - $24.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 Blue Bell,PA.

Application Deadline

This position is anticipated to close on Oct 2, 2026.

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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.