Benefits Verification Specialist

Role Summary

We are seeking a Benefits Verification Specialist to join our team. This role involves conducting high-volume outbound calls to payors and pharmacy benefit managers (PBMs) to verify copay eligibility for commercially insured patients on supported products. The position is phone-intensive (up to 95% of the shift on calls) and requires strict adherence to approved call guides, accurate documentation, and professional customer service. Note: There is no patient or caregiver interaction in this role.

Key Responsibilities

• Make outbound calls to PBMs/payors to verify copay eligibility throughout the workday.
• Maintain phone engagement for up to 95% of the shift while following approved call guides and compliant scripts.
• Identify and document plan types (e.g., Traditional, Accumulator, Maximizer) using program SOPs.
• Gather benefit details using PBM-specific workflows and prompts.
• Accurately document all interactions in CRM/telephony tools in real time.
• Create and manage follow-up tasks as needed.
• Maintain telephony platform status discipline to maximize connect time.
• Adhere to compliance and quality standards, including privacy and recorded-call protocols.
• Collaborate professionally with PBM contacts and internal teams.

Qualifications

• Education: High School Diploma or equivalent (some college preferred).
• Experience:
  • 1–2 years in a high-volume call center environment.
  • At least 1 year in insurance verification, pharmacy benefit investigation, or related healthcare services.
• Skills:
  • Familiarity with PBM processes and copay assistance programs.
  • Strong computer proficiency (CRM systems, Microsoft Suite, telephony tools).
  • Excellent verbal communication and active listening skills.
  • Ability to follow SOPs and escalate issues appropriately.

Additional Requirements

• Must have a private, distraction-free workspace that meets HIPAA compliance standards (wired internet required; Wi-Fi not permitted).
• Working cell phone required for two-step authentication.
• Ability to type 30+ WPM and navigate multiple systems simultaneously.

This is a Contract position based out of Durham, NC.

The pay range for this position is $21.00 - $21.00/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)

This is a fully remote position.

This position is anticipated to close on Jan 27, 2026.

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.