Remote Denials Specialist (Epic Revenue Cycle)

TEKsystems; Jacksonville (FL); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

BCBS benefits

Remote work

Career growth

Training resources

Long-term opportunities

Job summary

TEKsystems is hiring a Denial Specialist for a fully remote role focused on healthcare denial management. The position handles commercial denials and appeals within Epic, requiring analysis, documentation, and effective collaboration with billing teams.

The role emphasizes timely claim resolution, accurate AR follow-up, and root-cause analysis to improve reimbursement and reduce aging. This contract offers stability with benefits and remote work flexibility.

Qualifications

• 2+ years of healthcare denial management, medical billing, accounts receivable, or revenue cycle experience.
• Experience working commercial insurance denials and appeals.
• Epic experience preferred.
• Strong understanding of EOBs, claim adjudication, insurance follow-up, and appeals processes.
• High School Diploma or GED required.
• Ability to work independently in a fully remote environment.

Responsibilities

• Review and prioritize assigned denial work queues within Epic to ensure timely claim resolution.
• Investigate commercial insurance claim denials, underpayments, and reimbursement discrepancies.
• Perform accounts receivable follow-up with insurance carriers through payer portals, phone calls, and written correspondence.
• Analyze denied claims to identify root causes and determine appropriate resolution strategies.
• Prepare and submit appeals, reconsideration requests, and supporting documentation to insurance payers.
• Monitor claim status and follow up on outstanding appeals to maximize reimbursement and reduce aging AR.
• Accurately document all account activity, payer interactions, and resolution efforts within Epic.
• Research payer policies, claim adjudication outcomes, and reimbursement guidelines to resolve complex claim issues.
• Identify denial trends and recurring issues that may impact revenue cycle performance.
• Collaborate with internal billing, coding, registration, and authorization teams to resolve account discrepancies and support clean claim submission.

Skills

Healthcare denial management

Medical billing

Accounts receivable

Insurance follow-up

Appeals processing

Education

High School Diploma or GED

Tools

Epic

Job description

TEKsystems is hiring a Denial Specialist for a fully remote role focused on healthcare denial management. The position handles commercial denials and appeals within Epic, requiring analysis, documentation, and effective collaboration with billing teams.

The role emphasizes timely claim resolution, accurate AR follow-up, and root-cause analysis to improve reimbursement and reduce aging. This contract offers stability with benefits and remote work flexibility.