Denial Specialist II

Immediate need for a talented Denial Specialist II. This is a 12+months contract opportunity with long-term potential and is located in US(Remote[MST/PST]). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-85155

Pay Range: $22 - $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Training: Mon-Fri 9 AM - 5 PM (4-week course) NO TIME OFF
• Shift Schedule: 1 PM - 9 PM MST Tues-Saturday
• Generate, process and maintain providers’ and members’ correspondence for preservice and concurrent review. No calls, work will be coming out of a que
• Process denial management systems (claims, correspondence platform, appeals tracking)
• Review pending denial letters, escalations, and compliance deadlines
• Check Emails & Updates: Look for policy changes, payer updates, or internal communications that could affect denial handling

Key Requirements and Technology Experience: 

• Key Skills; 1-2 years of experience with denials, claims, and appeals
• Knowledge of medical terminology
• Experience with insurance/claims health care
• Multi-tasking/ tech savvy, computer knowledge
• Adapt to change well/independent worker/ time management
• Attention to detail
• High school Diploma or GED

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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