Medical Claims & Billing Review Specialist

Medical Claims & Billing Review Specialist

100% Remote | Monday-Friday, 8:00 AM-4:30 PM CST

Job Description

We are seeking a Medical Claims & Billing Review Specialist to join a growing healthcare claims review team. This position is ideal for someone with experience in medical billing, claims, denials/appeals, and EOB review who holds an active CPC or CPC-A certification and is looking to expand their healthcare reimbursement knowledge.

In this role, you will review healthcare claims and billing information to assist with payment determinations and dispute resolution. While an understanding of CPT codes and insurance guidelines is important, this is not a traditional coding position and you will not be responsible for coding charts.

Key Responsibilities

• Review medical claims, billing information, EOBs, denials, and appeals to support accurate payment determinations.
• Analyze claim details, CPT codes, reimbursement information, and supporting documentation to determine appropriate payment outcomes.
• Validate and verify claims data for accuracy and completeness before making determinations.
• Review disputed claims in which parties have been unable to agree on appropriate reimbursement.
• Apply knowledge of medical billing, insurance parameters, claims processing, denials, and appeals when reviewing cases.
• Document claim determinations and supporting rationale within an internal claims management system.
• Review claims involving professional or facility services, including emergency and ambulance services.
• Adapt to changing processes and procedures as part of a newly developed and growing team.

Qualifications

• Active CPC or CPC-A certification required.
• Experience with medical billing, healthcare claims, denials, appeals, and EOBs strongly preferred.
• Working knowledge of CPT codes, medical billing practices, and insurance guidelines.
• Experience on either the professional or facility billing side is welcome.
• Experience with emergency services, ambulance, air ambulance, or other emergency provider billing is helpful, but not required.
• Knowledge of the No Surprises Act (NSA) or Independent Dispute Resolution process is a plus, but not required.
• Strong attention to detail and ability to review and validate high volumes of claims information.
• Ability to work independently in a remote environment and adapt to a growing team and evolving processes.

Great Fit For

This opportunity may be especially well suited for a medical biller, claims specialist, denial/appeals specialist, or CPC-A certified professional who has strong healthcare reimbursement knowledge and wants to gain additional exposure to CPT codes and claim payment review.

Schedule & Work Environment

• 100% remote
• Monday-Friday, 8:00 AM-4:30 PM CST
• Long-term opportunity with room for professional growth
• Equipment provided, including laptop, monitor, keyboard, mouse, and phone

Why Consider This Opportunity?

• Join a growing healthcare claims review team.
• Build upon your billing, claims, denials, appeals, and reimbursement experience.
• Utilize your CPC/CPC-A knowledge without working in a traditional production coding role.
• Gain exposure to complex healthcare payment reviews and dispute resolution.
• Opportunity for long-term growth within the organization.

Job Type & Location

This is a Contract position based out of Indianapolis, IN.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 Oct 7, 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.