Denials Specialist

Denials Specialist (Remote)
Overview

We are seeking a highly analytical and detail-oriented Denials Specialist to join our team. This role is responsible for managing and resolving denied claims through in-depth investigation, payer communication, and cross-functional collaboration. Unlike traditional denial roles, this position requires strong critical thinking skills, as claims are processed outside of standard CPT billing and heavily managed through Excel-based workflows.

The ideal candidate is proactive, tech-savvy, and skilled in building relationships with payer contacts to drive successful claim resolution.

Key Responsibilities

+ Review and analyze denied claims by accessing payer and claims portals (e.g., Athena and payer-specific systems)

+ Identify root causes of denials, including copays, deductibles, coding issues, or service discrepancies

+ Categorize denied and unpaid claims into appropriate buckets based on denial reason

+ Collaborate with internal Revenue Cycle Specialists to research, correct, and resolve claim issues

+ Resubmit corrected claims to payers in a timely and accurate manner

+ Maintain detailed tracking and reporting of denials using Excel and Google Sheets

+ Communicate directly with payer representatives to resolve issues and prevent future denials

+ Continuously identify trends and opportunities to improve denial resolution processes

Required Qualifications

+ Minimum 6 months to 3 years of denials management experience within a provider-side environment

+ Proven ability to independently investigate and resolve claim denials end-to-end

+ Experience using payer portals to review denial reasons, pull reports, and resubmit claims

+ Strong analytical and critical thinking skills; able to diagnose issues and determine solutions

+ Advanced proficiency in Excel and/or Google Sheets (sorting, filtering, formulas required; pivot tables and VLOOKUP preferred)

+ Comfortable working on a Mac operating system with dual monitors

+ Excellent communication and relationship-building skills, particularly with external payer contacts

+ Highly organized with the ability to manage multiple priorities

Work Environment & Requirements

+ Fully remote position (exclusions apply; see below)

+ Must maintain a HIPAA-compliant workspace, including:

+ Private, secure work environment

+ No other individuals present during working hours

+ Secure internet connection

Equipment Requirements (employee-provided):

+ Dual monitors

+ Mac-compatible wireless keyboard and mouse

Schedule

+ Training Period (Approx. 4 Weeks):

+ Part-time hours

+ Start time: 8:00 AM MST

+ Schedule may adjust based on performance

+ Post-Training:

+ Full-time hours

+ Schedule must fall between 7:00 AM - 5:00 PM MST

+ No overtime permitted

Compensation

+ $22/hour for candidates with ~6 months experience

+ Up to $25/hour for candidates with up to 3 years of experience

Location Restrictions

Candidates must reside in eligible states. We are unable to hire in the following locations:

Alaska, Arkansas, Delaware, Hawaii, Maine, Mississippi, New Mexico, Oklahoma, Puerto Rico, South Dakota, Vermont, Wisconsin

Employment Type

+ Open-ended contract

What Sets This Role Apart

This is not a traditional denials role. Success in this position requires:

+ Deep analytical thinking beyond surface-level claim review

+ Strong collaboration across internal and external stakeholders

+ Comfort working in non-traditional billing structures with data-heavy workflows

Job Type & Location

This is a Contract position based out of Atlanta, GA.

Pay and Benefits

The pay range for this position is $22.00 - $25.00/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)

Workplace Type

This is a fully remote position.

Final date to receive applications

This position is anticipated to close on Jul 3, 2026.

About TEKsystems

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,…