[Hiring] Denials Specialist @TEKsystems

Role Description

Are you an experienced medical billing professional who enjoys solving complex claim issues and driving results? We are seeking a Denials Specialist to join a high-impact team focused on resolving aged accounts receivable, reducing denials, and improving overall reimbursement performance. This role is ideal for someone who thrives in a fast-paced environment, can work independently, and enjoys investigating claim issues from start to finish. You'll play a critical role in recovering revenue, identifying denial trends, and partnering with leadership to improve revenue cycle outcomes.

What You'll Be Doing

• Investigate and resolve denied and aged insurance claims
• Perform payer follow-up on outstanding accounts receivable balances
• Research root causes of denials and determine corrective actions
• Submit appeals, corrected claims, and supporting documentation
• Utilize payer portals to obtain claim status updates and denial information
• Maintain accurate account notes and documentation
• Identify reimbursement trends and opportunities for process improvement
• Collaborate with internal stakeholders to improve collections and reduce future denials

Qualifications

• Minimum 6 months of medical billing or denials management experience within a provider setting
• Experience working aged accounts receivable and denied claims
• Ability to interpret denial reasons and independently determine next steps for resolution
• Experience working with commercial and government payers
• Strong understanding of insurance claims, coordination of benefits, deductibles, coding-related denials, and appeals processes
• Experience navigating payer portals and claims management systems
• Proficiency with Excel or Google Sheets, including sorting, filtering, and basic formulas
• Strong written and verbal communication skills

Requirements

• Athenahealth experience
• Accounts receivable follow-up
• Appeals and denial management
• Revenue cycle management
• Process improvement initiatives
• Advanced Excel skills including Pivot Tables and VLOOKUPs

Benefits

• 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)

Company Description

This is a Contract position based out of Denver, CO. The pay range for this position is $22.00 - $25.00/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: