BusinessOperations - Denial Specialist II - J00915

Job Title: BusinessOperations - Denial Specialist II - J00915

Location: Remote
Duration: Contract - 5 months
Pay Range: $20/hr $23/hr (W2)
Job ID: 372217

About BCforward

BCforward is a leading global IT consulting and workforce solutions firm providing services and support to Fortune 500 and government clients. Founded in 1998, BCforward has grown with our customers needs into a full-service business solutions provider. With delivery centers and offices across North America and India, we take pride in building long-term relationships and delivering excellence through innovation, collaboration, and integrity.

Job Description

We are seeking a Denial Specialist II to join our dynamic team. The ideal candidate will have strong experience in healthcare denial processes, EMR-based correspondence, and regulatory compliance and a proven ability to produce accurate, timely provider and member correspondence that supports preservice and concurrent review.

Responsibilities:

• Generate, process, and maintain provider and member correspondence for preservice and concurrent review.
• Create correspondence from EMR documentation and process tasks within required timeframes to meet regulatory standards and policies.
• Update and maintain correspondence templates based on regulatory changes and interdepartmental inquiries.
• Coordinate data collection, analysis, and reporting activities that impact the denial process.
• Assist with the compliance and turn-around time (TAT) log for all correspondence notifications.
• Perform other duties as assigned while complying with all policies and standards.

Required Skills & Qualifications:

• High School diploma or GED.
• 1-2 years of related healthcare administrative or denial management experience.
• Proficiency with EMR systems and correspondence generation workflows.
• Strong attention to detail, organization, and time management.
• Effective written communication and documentation skills.

Preferred Skills:

• Knowledge of denial processes and medical record content interpretation.
• Familiarity with regulatory standards for utilization management correspondence and TAT tracking.

Why BCforward?

At BCforward, we believe in advancing lives and careers. When you join our team, you gain access to:

• Competitive compensation and benefits.
• Opportunities for growth with global clients.
• A supportive, inclusive culture that values innovation and people.
• Exposure to cutting-edge technologies and projects.

About Our Commitment

BCforward is an equal opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Interested? Apply Now!

If this sounds like the right opportunity for you, please apply with your most recent resume.