Denial Specialist

Job Summary

A company is looking for a Denial Specialist II.

Key Responsibilities

• Generate, process, and maintain provider and member correspondence for preservice and concurrent review
• Update and maintain correspondence templates based on regulatory standards and inquiries
• Coordinate data collection, analysis, and reporting activities related to the denial process

Required Qualifications

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