TEKsystems · 2 days ago
Appeals Specialist
Addison, TX, US
Full-time
Onsite
Mid Level
$21/hr - $28/hrTEKsystems is a leading provider of business and technology services, and they are seeking an Appeals Specialist. The role involves reviewing and analyzing denied claims, managing the appeals process, and preparing appeal letters and documentation to support claim reconsideration.
Information Technology
Responsibilities
Review and analyze denied claims, payment discrepancies, and reimbursement issues to identify the root causes
Initiate and manage the appeals and arbitration process for denied or underpaid claims, ensuring timely and accurate submissions
Prepare compelling appeal letters, supporting documentation, and necessary forms to present a strong case for claim reconsideration
Stay up-to-date with payer policies, regulations, and industry trends related to claim appeals and arbitration
Maintain a comprehensive understanding of coding guidelines, medical necessity, and reimbursement methodologies to strengthen appeal arguments
Qualification
Required
Proven experience as an Appeals Specialist or in a similar role within a healthcare setting
In-depth knowledge of healthcare revenue cycle processes, claim adjudication, and reimbursement methodologies
Familiarity with insurance denials, appeals, and arbitration processes, including knowledge of payer-specific appeal requirements and guidelines
Strong understanding of medical coding (CPT, HCPCS, ICD-10) and medical terminology
Ms office suite
medical record
medical terminology
medical biller
anesthesia
Benefits
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)
Company
TEKsystems
At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,
Founded in 1994
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Ryan Skains
Vice President, TEKsystems Global Services
Recent News
Morningstar.com
2026-02-03
2025-11-19
2025-10-29
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