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 strong communication skills in a virtual setting. No phone calls  Applications – Trucare classic/cloud,  Applications other – Outlook, Teams, one note, excel, word, one drive  Candidate Requirements Years of experience required: 1 year Process healthcare denial management systems (claims, correspondence platform, appeals tracking). Knowledge of denials process including understanding medical record information and medical terminology, comfortable with Microsoft 360 suite and basic computer knowledge.  Top 3 must-have hard skills stack-ranked by importance 1 Multi-tasking, tech savvy, Time management  2 Adapt to change well, independent work, troubleshooting  3 Attention to detail proficient in excel, outlook, word, teams, one note

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

Responsibilities

Multi-tasking, tech savvy, Time management 
Adapt to change well, independent work, troubleshooting 
Attention to detail proficient in excel, outlook, word, teams, one note

Skills

• Multi-tasking
• Time management
• Adapt to change

Qualifications

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

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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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