Mindlance
BusinessOperations - Denial Specialist II - J00915
Mindlance, Myrtle Point, Oregon, United States, 97458
Employer Industry: Healthcare Services
Why Consider this Job Opportunity
Opportunity for career advancement and growth within the organization
Flexible work environment with independent responsibilities
Supportive and collaborative team culture
Chance to contribute to compliance and quality standards in healthcare
Work with modern applications like Trucare, Excel, and Teams
What to Expect (Job Responsibilities)
Generate, process, and maintain provider and member correspondence for preservice and concurrent review
Ensure timely processing of correspondence tasks to comply with regulatory standards and policies
Update and maintain correspondence templates based on inquiries from regulatory and interdepartmental sources
Coordinate data collection, analysis, and reporting activities that impact the denial process
Assist with compliance and turn‑around time (TAT) logs for all correspondence notifications
What is Required (Qualifications)
High School diploma or GED
1 – 2 years of related experience
Knowledge of the denials process and understanding of medical record information
Ability to generate correspondence from EMR documentation
Strong attention to detail to ensure compliance with policies and standards
How to Stand Out (Preferred Qualifications)
Familiarity with applications like Trucare, Excel, and Outlook
Experience in a healthcare setting, particularly regarding denials processing
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
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Why Consider this Job Opportunity
Opportunity for career advancement and growth within the organization
Flexible work environment with independent responsibilities
Supportive and collaborative team culture
Chance to contribute to compliance and quality standards in healthcare
Work with modern applications like Trucare, Excel, and Teams
What to Expect (Job Responsibilities)
Generate, process, and maintain provider and member correspondence for preservice and concurrent review
Ensure timely processing of correspondence tasks to comply with regulatory standards and policies
Update and maintain correspondence templates based on inquiries from regulatory and interdepartmental sources
Coordinate data collection, analysis, and reporting activities that impact the denial process
Assist with compliance and turn‑around time (TAT) logs for all correspondence notifications
What is Required (Qualifications)
High School diploma or GED
1 – 2 years of related experience
Knowledge of the denials process and understanding of medical record information
Ability to generate correspondence from EMR documentation
Strong attention to detail to ensure compliance with policies and standards
How to Stand Out (Preferred Qualifications)
Familiarity with applications like Trucare, Excel, and Outlook
Experience in a healthcare setting, particularly regarding denials processing
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr