New

Continued Qualifications Specialist

TEKsystems
$22.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Pennsylvania, Blue Bell
Apr 28, 2026
Continued Qualifications Specialist Location: Onsite - Blue Bell, PA Schedule: Monday-Friday, 8:30 AM-5:00 PM Position Overview The Continued Qualifications Specialist is responsible for obtaining and maintaining all required documentation needed by insurance providers to support the continued, qualified, and authorized use of Durable Medical Equipment (DME) products. This role is critical to ensuring uninterrupted therapy for patients, accurate and timely billing, and compliance with payer requirements. The ideal candidate has strong communication skills, a solid understanding of insurance policies and reauthorization processes, and the ability to collaborate effectively with patients, healthcare providers, payers, and internal teams. Key Responsibilities * Develop a strong understanding of products, including their application and benefits to patient healing in the home * Conduct routine and scheduled outreach with patients to confirm active therapy use, insurance coverage, and healthcare provider status * Communicate regularly with healthcare providers to obtain payer-required documentation for continued therapy * Coordinate with internal teams to ensure timely product transitions based on insurance eligibility and coverage guidelines * Maintain accurate, real-time documentation of patient demographics, insurance details, authorizations, coverage, assessments, and communication history in digital systems * Assess patient eligibility for specific therapies based on insurance clinical, compliance, and contract guidelines * Complete timely insurance reauthorizations to support continued therapy in the home * Proactively escalate cases that may delay claim submission or result in unbilled claims * Investigate and resolve insurance-related issues, including denied reauthorizations and payer delays * Collaborate with the billing team to ensure accurate and timely claim submissions in compliance with payer requirements * Adhere to federal and state regulations, insurance policies, HIPAA, Medicare, and company compliance standards * Identify opportunities for process improvement and contribute to increased efficiency and effectiveness Qualifications Experience in insurance verification, reauthorization, or related healthcare administrative role Comprehensive knowledge of commercial insurance plans, Medicare, and payer guidelines Skills & Abilities Knowledge of medical terminology related to billing and insurance Ability to perform basic math calculations Strong written and verbal communication skills with attention to grammar, clarity, and professionalism Ability to organize work, manage priorities, and meet deadlines High attention to detail with the ability to work independently with minimal supervision Strong collaboration skills and ability to build positive working relationships with internal and external stakeholders Job Type & LocationThis is a Contract to Hire position based out of Blue Bell, PA. Pay and BenefitsThe pay range for this position is $22.00 - $22.00/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 TypeThis is a fully onsite position in Blue Bell,PA. Application DeadlineThis position is anticipated to close on May 11, 2026. 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.