Denial Specialist II

Immediate need for a talented Denial Specialist II. This is a 06+months contract opportunity with long-term potential and is located in Florida (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-67000
 
Pay Range: $18 - $19/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: 

• As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience.
• Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
  https://hire.glider.ai/connect/85157957
• Shifts: 10-7 and 11-8pm EST
• Training Shifts: 9-6pm EST or 10-7pm EST M-F
• Work on correspondence for adverse notifications
• Mail out documents to members and providers according to state and NCQA guidelines
• Work on triaging which would include communications to the medical directors and being a liaison to the care managers and the providers

 
Key Requirements and Technology Experience: 

• Key skills; 2 years of medical processing or doctor’s office setting experience, clerical background is recommended
• Experience of 19-23 letters completed per day for correspondence and 40-60 tasks per day for triage.
• MS Office
• High School Diploma/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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