denial specialist remote.

As a Denial Specialist, you will be responsible for generating, processing, and maintaining provider and member correspondence for preservice and concurrent medical reviews. You'll handle documentation from EMR systems, fax denial letters, and ensure timely, compliant communications based on regulatory standards.

Pay Rate: $23.00/hour
Schedule: Monday - Friday, 8 AM - 5 PM CST
One weekend/month: 10 AM - 7 PM CST

Responsibilities:
Process denial-related correspondence from EMR documentation
Maintain and update correspondence templates
Review faxes and manage related workflows
Ensure regulatory compliance and timely notification turnaround (TAT)
Support data collection and reporting for denial processing
Collaborate with team via Microsoft Teams and internal systems

Working hours: 8:00 AM - 5:00 PM

Skills:
Knowledge of denials process and familiarity with HCPCS/CPT coding preferred
Experience in a healthcare or insurance environment
Previous EMR system experience

Education:
High School

Experience:
1-4 years

Qualifications:
High school diploma or GED
1???2 years of related experience
Excellent Customer Service and Computer Skills (MS Office/Teams)
Knowledge of Medical Terminology required


The team environment in this role is fast-paced, collaborative, and focused on accuracy and compliance. Typical volume is 25???35 tasks per day.

Apply now to become part of a dedicated team supporting critical healthcare operations ??? remotely from anywhere in Louisiana!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).