Denial Specialist II

Typical Day in the Role Generates correspondence from Medical Director review documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies 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 communication skills in a virtual setting. Candidate Requirements Years of experience required: 1 year Process healthcare denial management systems (claims, correspondence platform, appeals tracking). Additional qualities to look for: Typing test: 60 words per minute Preferred: Knowledge of denials process including understanding medical record information and medical terminology preferred Top 3 must-have hard skills stack-ranked by importance 1 Multi-tasking 2 Adapt to change well 3 Attention to detail proficient in excel, outlook, word, teams, one note

salary: $22.99 - $23 per hour
shift: First
work hours: 1 PM - 10 PM
education: High School

Responsibilities

Generates correspondence review documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies
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 communication skills in a virtual setting.

Skills

• Multi-tasking
• Attention to detail
• Typing

Qualifications

• Years of experience: 1 year
• Experience level: Experienced

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At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

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