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Denial Specialist

Company: VirtualVocations
Location: Livonia
Posted on: January 24, 2025

Job Description:

A company is looking for a Denial Specialist II who will generate, process, and maintain provider and member correspondence for preservice and concurrent review.



Key Responsibilities

Generate and process correspondence from EMR documentation to ensure compliance with regulatory standards
Update and maintain correspondence templates based on regulatory and interdepartmental inquiries
Coordinate data collection, analysis, and reporting activities related to the denial process


Required Qualifications

High School diploma or GED
1 - 2 years of related experience
Knowledge of the denials process and understanding of medical record information preferred
Excel experience is preferred

Keywords: VirtualVocations, Detroit , Denial Specialist, Other , Livonia, Michigan

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