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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