Job Title: Denial Specialist (Remote)Pay Rate: $22.47 per hour
Schedule: Multiple shifts available (details below)
Assignment Length: 6 months
Potential to Extend or Convert: Yes
Start Date: January 5 (hard start date; no time off during training)
About the RoleThe Correspondence Specialist is responsible for generating, processing, and maintaining provider and member correspondence related to preservice and concurrent review. This role requires strong attention to detail, excellent written communication skills, and the ability to work independently while meeting strict turnaround times.
Key ResponsibilitiesGenerate correspondence based on EMR documentation and process tasks within required turnaround times.
Maintain and update correspondence templates according to regulatory requirements and internal inquiries.
Collect, analyze, and report data that impacts the denial process.
Support tracking and logging of correspondence-related compliance and turnaround time metrics.
Work quickly and accurately while prioritizing incoming denials.
Complete an average of 4 letters per hour.
Use applications such as TruCare, Excel, Word, Outlook, Teams, OneDrive, and OneNote.
Perform additional duties as assigned and comply with all policies and standards.
Work Environment & ExpectationsFully remote; candidates may reside anywhere in the U.S.
This is an independent, heads-down role—no direct interaction with members or providers.
Must be able to multitask across multiple systems simultaneously.
Strong written English skills required.
Must meet strict turnaround times (e.g., ~24–28 hours for inpatient, ~3–5 days for outpatient).
Cameras must be ON during training.
Training
Available SchedulesYou will be hired into ONE of the following shifts:
1 opening: Monday–Friday, 10:00 AM–7:00 PM CST
7 openings: Tuesday–Saturday, 1:00 PM–10:00 PM CST
6 openings: Sunday–Thursday, 1:00 PM–10:00 PM CST
Required QualificationsHigh School Diploma or GED
1–2 years of related experience
Basic knowledge of medical terminology
Strong computer literacy and multitasking ability
Proficiency in written English
Preferred QualificationsCNA, CMA, Radiology Tech, Sonography Tech, or Coding certification
Previous experience in denials, appeals, or utilization management
Disqualifiers
Top Skills (Ranked)Advanced computer and multitasking skills; ability to work independently
Strong written English proficiency
Experience with denials, appeals, or utilization management (preferred)
CLIENT does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.