Denial Specialist II

BC forward is Looking for Denials Specialist II

Position: Denial Specialist II
Location: 8735 Henderson Road, Ren 2, Tampa, FL 33634.
Duration: 06 Months (Possible Extension)
Work Type: Remote
Shift Timings: 10-7 and 11-8pm EST which will include a weekend day, either a Saturday or Sunday and those who work weekends will have the option to work a 10 hr shift. and training will be either 9a-6pm est or 10a-7pm est M-F.

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

Education/Experience:
Requires a High School diploma or GED
Requires 1 - 2 years of related experience.

Duties:
Knowledge of denials process including understanding medical record information preferred.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

Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

Interested candidates please send resume in Word format Please reference job code 237434 when responding to this ad.