New

Patient Navigator

TEKsystems
$72,000.00 - $87,360.00 / yr
401(k)
United States, North Carolina, Morrisville
Jul 09, 2025
Description * Serves as the single point of contact and provides personalized case management for patients, caregivers, and healthcare providers (HCPs), including delivery of benefit investigations, prior authorization tracking, and appeal support. * Educate patients, HCPs, and stakeholders on access and reimbursement processes, payer policies, and Mercalis programs (e.g., patient assistance programs, copay programs). * Build and maintain trusted relationships with patients, prescribers, and client stakeholders by delivering accurate, timely, and compassionate support. * Coordinate and collaborate with client field teams, following agreed upon business rules and guidelines * Communicate benefit coverage options and next steps in the patient journey using clear and patient-friendly language. * Leverage electronic tools to navigate and complete benefit investigations, ensuring payer coverage is secured for prescribed treatments. * Ensure all activities comply with healthcare laws, regulations, and Mercalis standard operating procedures (e.g., HIPAA, insurance guidelines). * Identify and escalate adverse events, product complaints, and special situation reports as required by the program. * Document all activities in the Mercalis system, maintaining detailed and accurate records. * Support adherence s, including patient education and coordinating nurse teaching as applicable. * Participate in team meetings and ongoing training to stay updated on policies and procedures. Travel MAY BE required to our HQ in Morrisville, NC per client request (at most 4x per year, IF requested). Skills: * Health care benefits. * insurance benefits * Health Care Management * Insurance reimbursement * Health Care * Health Care Billing * Patient access * Healthcare industry * Reimbursement * Renefit delivery * PACS Certification * CHES Certification * CCM certification Additional Skills & Qualifications: * Minimum two (2) years of experience in healthcare access delivery or management is strongly preferred. * Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes. * Ability to prioritize tasks and work efficiently in a fast-paced environment. * Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines. * Bilingual / Multilingual is a plus. Experience Level: * Expert Level Pay and Benefits The pay range for this position is $72000.00 - $87360.00/yr. 401K w/ 5% matching; day-1 vestment period 15 days PTO 8 Holidays + 2 Floating Days Health/Dental/Vision/Life; Coverage day-1 Gym Reimbursement Volunteer Hours Flexibility/Hybrid/Remote* This is not an exhaustive list of benefits. Benefits are subject to change ** Some positions require onsite presence and/or structured hours/shifts Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 11, 2025. 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.