Denial Specialist II

Denial Specialist

Position Purpose: Generates processes and maintains provider and member correspondence for preservice and concurrent review.

Day to Day Tasks:

• Knowledge of denials process including understanding medical record information preferred.
• Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies.
• Updates and maintains correspondence templates based on regulatory and interdepartmental correspondence inquiries.
• Coordinates all data collection analysis and reporting activities that impact the denial process.
• Assists with the compliance and turn-around time TAT log for all correspondence notifications.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Independent work, flexible, prioritize deadlines (must action on denials as soon as it's presented).
• Performance expectations/metrics 4 letters completed per hour.
• Applications Trucare, Faxing, Excel, word, outlook, teams, one drive, one note.
• Denial letters for prior authorization.

Additional Skills & Qualifications:

• Remote can reside anywhere, must be willing to work the schedules listed.
• Training: Mon-Friday 8-4:30 CST training-3 weeks-NO TIME OFF CAMERAS ON.
• Work shift: Schedule 8-5pm CST Sunday-Thursday.

Education/Experience:

• Requires a High School diploma or GED.
• Requires 1 - 2 years of related experience.

Job Type & Location:

This is a Contract position based out of Las Vegas, NV.

Pay and Benefits:

The pay range for this position is $22.47 - $22.47/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)

Workplace Type:

This is a fully remote position.

Application Deadline:

This position is anticipated to close on Feb 24, 2026.

About TEKsystems:

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.