Medical Billing Specialist

TEKsystems; Denver (CO); Remote; USD 100,000 - 125,000; Full time

Job summary

A technology and staffing firm is seeking a Medical Billing Specialist adept at handling denials management. In this role, you'll investigate denied claims, identify root causes, and collaborate with internal teams to resolve issues. A successful candidate will have at least 6 months of experience in denials management, strong Excel skills, and the ability to communicate effectively with payer contacts. This is a fully remote position with competitive hourly pay.

Benefits

Medical, dental & vision benefits

401(k) Retirement Plan

Paid Time Off

Qualifications

• Minimum 6 months in denials management from a provider environment.
• Strong in Excel/Google Sheets with formulas and VLOOKUP.
• Skilled in using payer portals to pull denial reports.

Responsibilities

• Investigate denied claims by accessing payer portals.
• Identify the root cause of denials.
• Collaborate with internal Revenue Cycle Specialists.

Skills

Excel proficiency

Relationship-building

Analytical skills

Google Sheets skills

Job description

We are seeking a highly analytical and relationship-driven Medical Billing Specialist with a focus on denials management. This is not your typical denials role - we're looking for someone who thrives in a fast-paced, Excel-heavy environment and can think critically to resolve complex billing issues.

Unlike traditional billing workflows, we do not bill on CPT codes. Instead, we operate on a flat-rate per use model, which means most of your work will be done in Google Sheets/Excel, not in an EMR.

Key Responsibilities

• Investigate denied claims by accessing payer portals (e.g., Athena, direct payer sites).
• Identify the root cause of denials (e.g., copays, deductibles, incorrect services or codes).
• Categorize unpaid amounts into appropriate denial buckets.
• Collaborate with internal Revenue Cycle Specialists to resolve issues and ensure accurate resubmission.
• Resubmit corrected claims to payers and follow up as needed.
• Maintain detailed documentation and tracking in Excel/Google Sheets.
• Communicate regularly and professionally with payer contacts to build strong working relationships.

Qualifications

• Experience: Minimum 6 months in denials management from a provider environment, with 3 years of experience preferred.
• Technical Skills: Mac proficiency required, comfortable using dual monitors, and strong in Excel/Google Sheets (formulas, sorting, filtering, VLOOKUP, and pivot tables).
• Denials Expertise: Skilled in using payer portals to pull denial reports and resubmit claims, able to diagnose denial reasons, and conduct internal research to resolve issues and resubmit claims.
• Soft Skills: Strong relationship-building abilities, especially with payer contacts, and high-level critical thinking and analytical skills.

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 medical, dental & vision, Critical Illness, Accident, and Hospital, 401(k) Retirement Plan, Life Insurance, short and long-term disability, Health Spending Account (HSA), transportation benefits, Employee Assistance Program, and Time Off/Leave (PTO, Vacation or Sick Leave).

This is a fully remote position. 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.