Denial Specialist II

BCForward is looking for Denial Specialist II- Remote

Job Title: Denial Specialist II

Location: Remote, FL

Position Type: Contract

Duration: 06+ Months

Shift Timings: 10-7 / 11-8pm EST

Pay Rate: $23.00 on W2

Position Purpose:

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

Job Responsibilities:

• 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.

Key Skills & Requirements:

• 2 years of medical processing or doctor's office setting experience.
• Clerical background is recommended.
• Previous work in systems like Trucare and Amisys (preferred but not required).
• Must have strong multitasking, problem-solving skills, and computer savvy.

Education/Experience:

• Requires a High School diploma or GED
• Requires 1 - 2 years of related experience

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 235839 when responding to this ad.