Appeals Specialist
Englewood, Arapahoe County, Colorado, 80151, USA
Listed on 2026-01-26
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Healthcare
Healthcare Administration, Healthcare Management, Medical Billing and Coding
Overview
Medical Appeals Specialist (Fully Remote). Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As a Medical Appeals Specialist, you ll combine deep payer policy knowledge with analytical problem-solving—owning complex research, writing strategic appeals, and driving high-stakes followups to resolution.
What you ll do- You ll be assigned audits with varying volumes of accounts and will pivot priorities based on monthly team targets.
- Conduct horizontal audits (underpayments across a single payer) and vertical audits (similar denial reasons across multiple payers).
- Lead Zero Balance investigations: review EOBs/ERAs, identify denial reasons and contractual adjustments, and determine whether to appeal, rebill, or write off.
- Apply rigorous rootcause analysis and strategic appeal tactics to overturn denials and recover revenue.
- Draft high quality appeal letters, confirm submission pathways, and generate "outthedoor" rebills for already-vetted claims.
- Coordinate with payers and clients to ensure appeals are submitted accurately and promptly.
- Perform advanced outbound followups on inprocess appeals—interpreting denial letters, validating payer responses, and deciding the best escalation and next steps.
- Make decisive phone calls to determine denial causes, the correct appeal destination, and whether escalation is warranted.
- Own the outcome:
Make strategic recommendations on account disposition, surface trends to analysts, and help align team priorities to monthly goals. - Quality + customer satisfaction:
Balance meticulous audit work with meeting deadlines that serve client commitments. - Communicate confidently:
Very heavy phone work—comfortable initiating calls to solve problems quickly.
- Work within client EHRs/EMRs, primarily Epic, Cerner, and Athena.
- HS diploma or GED
- Minimum of 1+ year of Revenue Cycle Management experience specifically in appeals (denials research, rootcause analysis, and complex payer followups over the phone)
- Direct experience with Zero Balance claims and payer denial codes, plus handson complex appeals workflows
- EMR/EHR experience (ideally Epic and Athena; Cerner exposure a plus)
- Third-party/BPO/vendor background
- Experience collaborating with analysts to interpret raw claims data and set audit strategy
- Solve challenging problems that directly influence cash acceleration
- Be part of a team that values quality over quantity while still hitting ambitious monthly goals
- Grow your payer strategy acumen across multiple clients, EMRs, and payers
This is a Contract to Hire position based out of Englewood, CO.
Pay and BenefitsThe pay range for this position is $21.00 - $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)
This is a fully remote position.
Final date to receive applicationsThis position is anticipated to close on Feb 5, 2026.
About TEKsystemsWe 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.
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