FULLY remote opportunity! + Contract to Perm opportunity with a reputable healthcare company Description 1. Manages workflow for Humana PPI Audits, RAC Audits, or outpatient appeals and communicates daily with Sr. Director/Manager on trends identified 2. Respond to queries within 72 hours, appropriately documents in Cerner/ClaimIQ/Artiva and tracks all activity in the appeal tracker 3. Manages PDFU to assure timely follow up of accounts to effectively move through the revenue cycle 4. Completes claim appeals and assists with other projects as needed 5. Submits requests for medical records, ub's, and itemized bills as needed 6. Responsible for being aware of the current department policies and procedures 7. Meet or exceed quality and quantity benchmark targets as established by management 8. Ability to perform all other duties as assigned or requested 9. Ensure confidentiality of all patient accounts by following HIPPA guidelines Additional Skills & Qualifications Appeals and denials medical claims medical appeals medical denials insurance claims Pay and Benefits The pay range for this position is $18.00 - $20.00/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 fully remote position. Application Deadline This position is anticipated to close on Jun 13, 2025. 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.