[Hiring] Business Operations - Denial Specialist II @Mindlance

Role Description

Generates, processes and maintains provider and member correspondence for preservice and concurrent review.

• 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 notifications.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• High School diploma or GED.
• 1 – 2 years of related experience.
• Knowledge of denials process including understanding medical record information preferred.

Requirements

• Required: High school/Medical Terminology.
• Preferred: Knowledge of denials process including understanding medical record information and medical terminology.
• Years of experience required: 1 year.
• Typing test: 60 words per minute.
• Top 3 must-have hard skills stack-ranked by importance:
• Multi-tasking.
• Adapt to change well.
• Attention to detail; proficient in Excel, Outlook, Word, Teams, OneNote.

Benefits

• Remote position Thursday, Friday, and Monday 10:00-7:00 pm PST.
• Saturday and Sunday 8:30 -5:00 PM PST with rotating Holidays.

Company Description

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.