Denial Specialist II

Pyramid Consulting, Inc. Pay Range This range is provided by Pyramid Consulting, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base Pay Range $22.00/hr - $23.00/hr Immediate need for a talented Denial Specialist II . This is a 12 Months Contract opportunity with long-term potential and is US Remote . Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 25-94913 Pay Range: $22.00 - $23.00/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 We write and send correspondence letters to providers and members (in easily readable language), ensuring that they are sent within the contractual turnaround time. It’s a remote position and the whole team works remotely. The team works from queues where tasks are either assigned to or pulled by the team member. The letters are created using a template. MD rationales will be reviewed, and easily readable descriptions are added, when necessary, for NCQA compliance. The quality goal is 95% or greater each month and the production is weighted by type of letter. A weekly and monthly average of 100% meets the goal. Denials/Approvals – min of 40 in 8 hour day Applications - excel, word, outlook, teams, one drive, one note, true care Key Requirements and Technology Experience Health care industry experience, strong knowledge of medical terminology, strong writing and communication skills, complies with all policies and standards, data entry within excel. Fast typing Speed (60WPM with 90% Accuracy) Knowledge of denials/approvals process 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. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. By applying to our jobs, you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here. #J-18808-Ljbffr Pyramid Consulting, Inc