What are the responsibilities and job description for the Denial Specialist II position at Pyramid Consulting, Inc?
Immediate need for a talented Denial Specialist II. This is a 12 months contract opportunity with long-term potential and is located in US(Remote[MST/PST]). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-85155
Pay Range: $22 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Training: Mon-Fri 9 AM - 5 PM (4-week course) NO TIME OFF
- Shift Schedule: 1 PM - 9 PM MST Tues-Saturday
- Generate, process and maintain providers’ and members’ correspondence for preservice and concurrent review. No calls, work will be coming out of a que
- Process denial management systems (claims, correspondence platform, appeals tracking)
- Review pending denial letters, escalations, and compliance deadlines
- Check Emails & Updates: Look for policy changes, payer updates, or internal communications that could affect denial handling
Key Requirements and Technology Experience:
- Key Skills; 1-2 years of experience with denials, claims, and appeals
- Knowledge of medical terminology
- Experience with insurance/claims health care
- Multi-tasking/ tech savvy, computer knowledge
- Adapt to change well/independent worker/ time management
- Attention to detail
- High school Diploma or GED
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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#prof J2W:CB3Salary : $22 - $23
