Denial Specialist

Job Summary

A company is looking for a Denial Specialist II.

Key Responsibilities

• Generates and processes provider and member correspondence for preservice and concurrent review
• Updates and maintains correspondence templates based on regulatory standards
• Coordinates data collection, analysis, and reporting activities related to the denial process

Required Qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Knowledge of the denials process and medical record information preferred
• Proficient in Microsoft Word required
• Experience with TruCare Classic or Cloud preferred