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 M.S.T(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-84282

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:

• Location: Remote Must be in MST time zone.
• Shift Timing: Position will be Remote position Tues – Saturday 1pm-9pm MST.
• Training – Mon-Fri  9am-5pm (4-week course) NO TIME OFF – CAMERAS ON
• Computer literacy test  
• Candidates must reside in MST or PST due to the working schedule
  Generates, processes and maintains provider and member correspondence for preservice and concurrent review. 
• Remote position Tues – Saturday 1pm-9 pm with rotating Holidays.
• Process denial management systems (claims, correspondence platform, appeals tracking).
• Prioritize Tasks: 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.
• Once fully trained, at least 4 denial letters per hour and/or at least 6-7 approval letters per hour
• Remote specialists manage time and productivity without in-office oversight and combines technical expertise, compliance knowledge, and strong communication skills in a virtual setting.

Key Requirements and Technology Experience:  

• Key skills; Medical terminology, insurance/claims health care, Process denial management systems
• Required: High school/ Medical Terminology
• Years of experience required: 1-2 year, medical terminology, insurance/claims health care. 
• Cannot work shift times or not in time zone, job hopping (please state if contract),
• Multi-tasking/ tech savvy, computer knowledge.
• Adapt to change well/independent worker/ time management
• Attention to detail
• Computer literacy test  

 

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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