Denials Specialist
TEKsystems
Denver, COFresherJust nowvia LinkedIn
About the Role
This is a Contract position based out of Denver, CO.
This is a fully remote position.
The pay range for this position is $22.00 - $25.00/hr.
Key Responsibilities
- 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
Requirements & Tech Stack
- 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
Preferred Experience
- Athenahealth experience
- Accounts receivable follow-up
- Appeals and denial management
- Revenue cycle management
- Process improvement initiatives
- Advanced Excel skills including Pivot Tables and VLOOKUPs
Qualifications
- Strong critical thinking and problem-solving abilities
- Ability to work independently with minimal supervision
- High level of ownership and accountability
- Comfortable managing multiple priorities and deadlines
- Detail-oriented with a focus on accuracy
- Reliable, proactive, and resourceful
- Professional communication skills when interacting with payers and internal teams