Appeals & Denials Specialist

TEKsystems • Canoga Park, CA • 4h ago

Job Title: Quality Improvement (QI) Appeals Technician

Position Overview:

The QI Appeals Technician will support the appeals and quality improvement team by assisting in the review and resolution of denied claims. This role works collaboratively with coordinators and cross-functional teams to identify root causes of denials, ensure accurate processing, and support compliance with payer and regulatory requirements. The ideal candidate brings a strong understanding of healthcare operations, including claims processing, prior authorizations, and medical terminology, along with excellent communication skills.

Key Responsibilities:

Support the end-to-end appeals process, including intake, review, and follow-up on denied claims

Analyze claims to identify errors or discrepancies that contributed to denials

Review medical records, coverage determinations, and benefits to support appeals decisions

Conduct insurance EOB (Explanation of Benefits) reviews to validate claim outcomes

Perform medical billing follow-ups to ensure timely resolution of outstanding issues

Utilize standardized writing templates to prepare clear and compliant appeal communications

Collaborate with internal teams to ensure accurate documentation and process improvements

Maintain thorough and organized records within EMR and related systems

Required Qualifications:

Experience in claims processing, medical billing, prior authorizations, or appeals

Strong knowledge of medical terminology and healthcare workflows

Experience reviewing insurance coverage, benefits, and EOBs

Proficiency working within EMR systems

Excellent written and verbal communication skills

Preferred Qualifications:

Experience working for a health plan or within a managed care environment

Experience in care coordination or utilization management

Familiarity with claims adjudication and authorization processes

Core Skills:

EMR Systems

Medical Billing and Claims Processing

Prior Authorization

Denials Management and Appeals

Experience Level:

Expert-level experience preferred

Job Type & Location

This is a Contract to Hire position based out of Canoga Park, CA 91304.

Pay and Benefits

The pay range for this position is $25.00 - $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 fully onsite position in Canoga Park,CA 91304.

Application Deadline

This position is anticipated to close on Jun 29, 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.

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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Similar Jobs

Physical Therapist - Outpatient - Per Diem - $2,500 Sign on

Select Medical • Los Angeles, CA • 1h ago

Hospital & Medical

Overview California Rehabilitation Institute A partnership between Cedars-Sinai, UCLA Health and Select Medical Century City / Los Angeles, CA Physical Therapist (PT) Outpatient - Per Diem Increased Rate $69 **2,500 Sign...

1h ago

Go to Apply

Senior Product Specialist

Deloitte • Los Angeles, CA • 3h ago

Senior Product Specialist Our Deloitte Customer team empowers organizations to build deeper relationships with customers through innovative strategies, advanced analytics, Generative AI, transformative technologies, and...

3h ago

Go to Apply

Restaurant Crewmember

Raising Cane's • Inglewood, CA • 4h ago

Retail & Hospitality

Starting hiring pay: $20.00 Restaurant Crewmembers at Raising Cane's will wear many hats (including a Raising Cane's hat) while working hard and having fun as a critical part of the Restaurant team. We are hiring immedia...

4h ago

Go to Apply

26/27 School-Based Behavior Technician

Amergis • Hawthorne, CA • 4h ago

IT & Engineering

The Behavior Technician works to facilitate educational and behavioral services with children and adults with special needs and collaborates with school professionals and other behavioral specialists to achieve learning...

4h ago

Go to Apply

Account Executive

Robert Half • Los Angeles, CA • 4h ago

Sales & Marketing

Description We are looking for an Account Executive to support client growth and strengthen long-term partnerships in Los Angeles, California. This contract opportunity with potential for a long-term role is ideal for a...

4h ago

Go to Apply

Accountant

Robert Half • Los Angeles, CA • 4h ago

Finance, Accounting & Banking

Description Our nonprofit organization is dedicated to making a meaningful impact in the community through mission-driven programs and services. We are seeking a detail-oriented and analytical Staff Accountant to support...

4h ago

Go to Apply

Sales Development Representative

Avnet • Woodland Hills, CA • 4h ago

Sales & Marketing

Who We Are: At Avnet, relationships matter. We are a global, FORTUNE ® 500 technology distributor and solutions company that delivers design, supply chain and logistics expertise to customers at every stage of a product'...

4h ago

Go to Apply

Animation Production Intern, DreamWorks Animation, Fall 2026

NBC Universal • Glendale, CA • 4h ago

Manufacturing & Warehouse

DreamWorks Animation is looking for more adventurous dreamers who shoot for the moon. We tell stories about the journeys our unconventional heroes take to make dreams come true. As a growth-minded studio, we pride oursel...

4h ago

Go to Apply

Appeals and Grievances Nurse Specialist RN II

L.A. Care Health Plan • Los Angeles, CA • 4h ago

Hospital & Medical

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13049 Salary Range: $88,854.00 (...

4h ago

Go to Apply

Appeals RN - Care Management - Full-time - REMOTE

Providence • Mission Hills, CA • 4h ago

Management & Administrative

Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S)...

4h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)