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Denial Specialist

6/3/2025

Remote

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

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