[Hiring] Medical Denials Specialist @TEKsystems

Role Description

The Denials Specialist is responsible for reviewing, analyzing, and resolving denied claims within Virta Health’s revenue cycle operations.

• Reviewing denied claims via Athena worklists and payer portals
• Identifying root causes of denials (coding issues, COB, eligibility, etc.)
• Performing research using internal systems and billing guides
• Collaborating with internal revenue cycle specialists to correct claims
• Resubmitting claims and ensuring appropriate reimbursement
• Tracking and organizing denial data in Excel/Google Sheets
• Communicating with customers when payer-side correction is not applicable
• Supporting cleanup of backlog/worklists and improving workflows
• Contributing to evolving processes as Virta optimizes Athena utilization

Qualifications

• Min 6 months experience in denials management
• Athena: 1+ year preferred; comfort navigating worklists, denial review, and workflows
• Know how to use payer portals to pull denial reports and resubmit information
• Strong relationship-building skills, particularly in working directly with payer contact
• Ability to diagnose why a claim was denied and do internal research to solve the problem
• Microsoft Excel Experience

Requirements

• This is a Contract position based out of Denver, CO.

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

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.