New

Denials Specialist

TEKsystems
$25.00 - $26.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, San Jose
Mar 12, 2026
Description The Denials & FollowUp Specialist is responsible for managing highvolume insurance claim denials, completing timely followup with commercial payers, and ensuring accurate resolution of outstanding balances. This role works heavily out of claim queues, investigates denial reasons, secures corrected claims or appeals, and communicates updates to internal teams. Behavioral health (BH) billing experience is highly preferred and considered more important than general medical billing knowledge due to the unique requirements of mental health claims. Claim Denials & FollowUp Work highvolume denial and A/R followup queues, prioritizing claims based on payer, aging, and denial category. Research and resolve commercial insurance denials, including eligibility, coding issues, prior authorization, place of service, telehealth rules, and medical necessity for BH services. Contact commercial payers by phone and portal to obtain claim status, validate denial reasons, and secure reprocessing or payment when appropriate. Submit corrected claims, appeals, reconsiderations, and documentation as required by payer guidelines. Document all actions, notes, and outcomes thoroughly in billing systems. Productivity & Workflow Manage an expected workload of 45 accounts per day (approximately 5 accounts per hour). Maintain accuracy and timeliness while working through multiple payer queues simultaneously. Identify trends in denials and escalate systemic issues to leadership. Collaboration & Compliance Partner with internal billing, credentialing, and provider operations teams to resolve claim discrepancies. Additional Skills & Qualifications Required Qualifications 4+ years of experience in medical billing, A/R followup, or denial management. Highvolume commercial payer experience required. Strong understanding of denial reasons, EOB interpretation, payer guidelines, and appeals workflows. Proven experience working out of claim queues in a fastpaced environment. Demonstrated ability to complete high daily account volumes with accuracy. Strong phone skills for calling payers and navigating IVR systems. Excellent documentation, organization, and troubleshooting skills. Experience Level Expert Level Job Type & LocationThis is a Contract to Hire position based out of San Jose, CA. Pay and BenefitsThe pay range for this position is $25.00 - $26.00/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 TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 24, 2026. h4>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, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.