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

Job ID:25-96148

Pay Range: $21 - $22.47/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:

• Knowledge of denials process including understanding medical record information preferred.
• 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

Key Requirements and Technology Experience:

• Skills-Advanced Computer Skills, multitasking skills – in different systems at once, independent work
• Proficient in Written English Language
• Previous denial, appeals, UM experience a plus
• 1-2 years related experience (basic knowledge of medical terminology), CNA experience preferred, CMA experience preferred, denials.
• Previous denial, appeals, UM experience a major plus
• Multitasking
• Computer literacy test
• Medical Terminology is a plus
• Applications worked in most Excel, word, outlook, teams, one drive, one note
• Highly preferred
• 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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