Medical Denials Specialist

About the role

The Denials Specialist is responsible for reviewing, analyzing, and resolving denied claims within Virta Health’s revenue cycle operations.

Responsibilities

• Reviewing denied claims via Athena worklists and payer portals
• Identifying root causes of denials (coding issues, COB, eligibility, etc.)
• Performing research using internal systems and billing guides
• Collaborating with internal revenue cycle specialists to correct claims
• Resubmitting claims and ensuring appropriate reimbursement
• Tracking and organizing denial data in Excel/Google Sheets
• Communicating with customers when payer-side correction is not applicable
• Supporting cleanup of backlog/worklists and improving workflows
• Contributing to evolving processes as Virta optimizes Athena utilization

Qualifications

• Minimum 6 months of experience in denials management
• Athena: Preferred 1+ year experience; comfort navigating worklists, denial review, and workflows
• Knowledge of how to use payer portals to pull denial reports and resubmit information
• Strong relationship-building skills, particularly in working directly with payer contacts
• Ability to diagnose why a claim was denied and do internal research to solve the problem
• Experience with Microsoft Excel

Pay and Benefits

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 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).

About TEKsystems

We are 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 are 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 are strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We are building tomorrow by delivering business outcomes and making positive impacts in our global communities. We are 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.