Insurance Coder Remote Jobs in Harrisburg, PA (NOW HIRING)

TekSystems is currently hiring for a Medical Claims Account Specialist. This position is FULLY REMOTE! MUST live in the following states: FL. GA, MD, NJ, NC, PA, SC, TX.

MUST HAVE: 1-3 years of medical claims, medical billing, medical coding, OR any experience dealing with Medicare or Medicaid!

Preferred Qualifications

- Experience handling escalated cases, appeals, or complex inquiries

- Background in Medicare Advantage, Medicare Supplement, or government programs

- Experience in quality review, auditing, or reporting environments

- Prior experience mentoring or supporting team members

Description

As a Senior Group Account Specialist, you will support complex enrollment and account-related activities, with a focus on Medicare and CMS-regulated processes. This role involves handling escalated and high-priority cases, conducting research, and ensuring accurate and compliant resolution of inquiries.

Key Responsibilities:

- Research, document, and resolve complex or escalated enrollment and account inquiries

- Handle cases involving CMS-regulated processes and Medicare-related issues

- Analyze data and identify discrepancies or trends across member records and transactions

- Ensure compliance with internal policies, CMS regulations, and quality standards

- Respond to internal and external requests for information in a timely and accurate manner

- Provide technical guidance and support to team members and cross-functional partners

- Assist with quality audits, reporting, and tracking performance metrics

- Act as a subject matter expert for specific processes and assist with training or mentoring team members

- Participate in special projects and contribute to process improvement initiatives

Additional Skills & Qualifications

Required Qualifications

- High School Diploma or GED required (Associate’s or Bachelor’s degree preferred)

- Prior experience in healthcare operations, enrollment, billing, or insurance environments

- Experience working with Medicare, CMS, or regulated programs preferred

- Strong analytical and critical-thinking skills

- Proficiency with Microsoft Office (Excel, Word, Outlook)

- Ability to navigate multiple systems and databases

- Strong organizational and time management skills

Preferred Qualifications

- Experience handling escalated cases, appeals, or complex inquiries

- Background in Medicare Advantage, Medicare Supplement, or government programs

- Experience in quality review, auditing, or reporting environments

- Prior experience mentoring or supporting team members

This is a Contract position based out of Harrisburg, PA.

The pay range for this position is $19.00 - $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 Jul 6, 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.

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.