Job Description

Immediate need for a talented Denial Specialist II . This is a 12+ months contract opportunity with long-term potential and is located in League City, TX (Remote; CST or EST). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-68244

Pay Range: $22.50 - $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 (Start/End Time): 2-10 PM or 3-11 PM CST. M-F 1 rotating weekend day every 4-6 weeks
• Generates, processes, and maintains provider and member correspondence for preservice and concurrent review.
• 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.

Key Requirements and Technology Experience:

• Key skills: Denials process, EMR documentation, Data Collection.
• Work in fast paced setting, adapt to change, basic computer knowledge.
• Medical background.
• Required: High School diploma.

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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