Denial Specialist II

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
• 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