Denials Specialist

TEKsystems•Littleton, CO

7d•$22 - $25•Remote

About The Position

The Denials Specialist investigates and resolves denied and aged insurance claims, follows up with payers on outstanding accounts receivable, and helps recover revenue while improving reimbursement performance. The role researches denial causes, determines corrective actions, submits appeals and corrected claims with supporting documentation, and uses payer portals and claims management systems to obtain claim status and denial information. The specialist maintains accurate account documentation, identifies reimbursement trends and process improvement opportunities, and collaborates with internal stakeholders to improve collections and prevent future denials. This is a fully remote, contract position with full-time hours following training. It is a highly independent, fast-paced role involving extensive use of billing systems, payer portals, and spreadsheets. The employee must maintain a HIPAA-compliant remote workspace with secure internet access. The position is based out of Denver, Colorado, and the anticipated application deadline is November 6, 2026.

Requirements

At least 6 months of medical billing or denials management experience in 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.
Strong critical-thinking and problem-solving abilities.
Ability to work independently with minimal supervision.
High level of ownership and accountability.
Ability to manage multiple priorities and deadlines.
Detail-oriented approach focused on accuracy.
Reliable, proactive, and resourceful.
Professional communication skills when interacting with payers and internal teams.
Ability to maintain a HIPAA-compliant remote workspace with secure internet access.

Nice To Haves

Athenahealth experience.
Accounts receivable follow-up experience.
Appeals and denial management experience.
Revenue cycle management experience.
Experience with process improvement initiatives.
Advanced Excel skills, including Pivot Tables and VLOOKUPs.

Responsibilities

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

Benefits

Medical insurance, if eligible.
Dental insurance, if eligible.
Vision insurance, if eligible.
Critical Illness, Accident, and Hospital coverage, if eligible.
401(k) retirement plan with pre-tax and Roth post-tax contributions available, if eligible.
Voluntary life insurance and AD&D coverage for the employee and dependents, if eligible.
Short- and long-term disability coverage, if eligible.
Health Spending Account (HSA), if eligible.
Transportation benefits, if eligible.
Employee Assistance Program, if eligible.
Time off/leave, including PTO, vacation, or sick leave, if eligible.