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

Job ID:25-95509

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:

• 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:

• Years of experience required: 1 year
• Multi-tasking 
• Adapt to change well
• Attention to detail
• High school/ Medical Terminology
• Typing test, basic computers skills test, etc

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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