Denial Specialist II
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Job Description
Description: Position Purpose:Generates, processes and maintains provider and member correspondence for preservice and concurrent review.
Education/Experience:Requires a High School diploma or GEDRequires 1 2 years of related experience.
Knowledge of denials process including understanding medical record information preferred.
Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies
Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries
Coordinates all data collection, analysis, and reporting activities that impact the denial process
Assists with the compliance and turn-around time (TAT) log for all correspondence notificationsPerforms other duties as assigned
Complies with all policies and standards
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
