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  • Appeals/Denials Specialist

    TEKsystems (Tampa, FL)



    Apply Now

    Description

    This person will be on the bill review team specifically working in the backlog of appeals. The Bill Review Analyst position holds accountability for accurate and timely review, processing and payment of bills to include pre-coding accuracy and adjudication of appeals/provider reconsideration requests.

     

    • Examines and adjudicates requests for appeals, reconsiderations, re-evaluations, and corrected bills.

    • Maintains knowledge of industry standard medical coding initiatives and state specific fee schedules and coding guidelines

    • Meets or exceeds department contractual and/or industry standards for accuracy and turnaround time

    • Maintains an understanding of all variations of Workers’ Compensation state rules and regulations

    • Maintains comprehensive knowledge of all available re-pricing opportunities (e.g. PPOs, direct contracts, etc.), ensures application as part of the adjudication process

    • Monitors itemized billings for excessive charges, duplications, and appropriate medical bills coding

    • Reviews/processes appeals and initiates refund requests, assists in the recoupment process.

    • Assists in the preparation of bills research reports

     

    Skills

     

    workers' compensation, appeals, bill review software, data entry

    Pay and Benefits

    The pay range for this position is $23.00 - $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)

     

    Workplace Type

     

    This is a hybrid position in Tampa,FL.

     

    Application Deadline

     

    This position is anticipated to close on Jul 29, 2025.

    h4>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.

    About TEKsystems and TEKsystems Global Services

    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.

     


    Apply Now



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