Illinois Denial Specialist

A company is looking for a Denial Specialist II. Key Responsibilities Generate, process, and maintain provider and member correspondence for preservice and concurrent review Update and maintain correspondence templates based on regulatory and interdepartmental inquiries Coordinate data collection, analysis, and reporting activities that impact the denial process Required Qualifications High School diploma or GED required 1 - 2 years of related experience preferred Knowledge of the denials process, including understanding medical record information, preferred Must be located in the state of Illinois to qualify Availability to work every other Saturday for a 4-hour shift of overtime

Mar 24, 2025 - 20:38

A company is looking for a Denial Specialist II. Key Responsibilities Generate, process, and maintain provider and member correspondence for preservice and concurrent review Update and maintain correspondence templates based on regulatory and interdepartmental inquiries Coordinate data collection, analysis, and reporting activities that impact the denial process Required Qualifications High School diploma or GED required 1 - 2 years of related experience preferred Knowledge of the denials process, including understanding medical record information, preferred Must be located in the state of Illinois to qualify Availability to work every other Saturday for a 4-hour shift of overtime