Denial Specialist II - J00915

Description

Position Purpose

The Denials & Correspondence Specialist is responsible for generating, processing, and maintaining accurate provider and member correspondence related to pre-service and concurrent reviews. This role ensures all correspondence is completed timely, compliantly, and in alignment with regulatory requirements and organizational standards.

Education & Experience

• High School Diploma or GED required
• Minimum of 1–2 years of related healthcare, insurance, or administrative experience
• Experience with denial processes and medical record review preferred

Key Responsibilities

• Generate and process provider and member correspondence using EMR documentation
• Ensure all correspondence is completed within regulatory turnaround time (TAT) requirements
• Maintain, update, and manage correspondence templates based on regulatory updates and interdepartmental needs
• Coordinate data collection, analysis, and reporting that support denial management and compliance initiatives
• Assist with maintaining compliance logs and monitoring turnaround times for all correspondence notifications
• Process denial management systems, including claims platforms, correspondence systems, and appeals tracking tools
• Review and prioritize pending denial letters, approvals, escalations, and compliance deadlines
• Monitor emails and internal communications for payer updates, policy changes, or procedural changes impacting denial workflows
• Meet productivity standards, including:
  • Minimum of 4 denial letters per hour once fully trained
  • Minimum of 6–7 approval letters per hour once fully trained
• Perform additional duties as assigned while adhering to organizational policies and standards

Additional Skills & Qualifications

Typing test 60 wpm – 95% accuracy

Computer literacy test

Years of experience required: 1+ year Process healthcare denial management systems (claims, correspondence platform, appeals tracking).

Experience Level

Entry Level

This is a Contract position based out of Tigard, OR.

The pay range for this position is $23.00 - $23.00/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.

This position is anticipated to close on Apr 22, 2026.

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.

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.