Denial Specialist

Immediate need for a talented Denial Specialist . This is a 03+months contract opportunity with long-term potential and is located in WA, NV, OR(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-70642

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:

• Shift: Friday- Mon 10am-9pm Pacific 1 hour Lunch. Or 12-9 Friday- Tues (Sat/Sun 8-5).
• Generates, processes and maintains provider and member correspondence for preservice and concurrent review.
• Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies
• Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries
• Coordinates all data collection, analysis, and reporting activities that impact the denial process
• Assists with the compliance and turn-around time (TAT) log for all correspondence notifications
• Performs other duties as assigned
• Complies with all policies and standards
• Handle LOB commercial, Medicaid, Medicare. Will send out approvals/denials letters.
• Send letters needing translation to translating vendors.
• The contractor will work from a queue. Will have lots of support from leads

• Key Skills; Requires 1 – 2 years of related experience
• Flexible schedule, experience in production driven work
• Excel experience
• High School diploma or GED
• Knowledge of denials process including understanding medical record information preferred.

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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