Denial Specialist II

A company is looking for a Denial Specialist II.

Key Responsibilities

Generate, process, and maintain provider and member correspondence for preservice and concurrent review

Coordinate data collection, analysis, and reporting activities impacting the denial process

Assist with compliance and turn-around time (TAT) logs for all correspondence notifications

Required Qualifications

High School diploma or GED

1-2 years of related experience

Knowledge of the denials process and understanding of medical record information preferred