Denial Specialist

Pyramid Consulting, Inc
  • Hillsboro, OR
  • Remote
  • $23 Per Hour
  • Instant Apply
16 days ago

Job Description

Immediate need for a talented Denial Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-33548

Pay Range: $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Track, analyze, and report denial-related data, manage templates, and monitor compliance deadlines, policy updates, and payer changes.
  • Utilize TruCare, Outlook, Teams, OneNote, Excel, Word, and OneDrive to independently meet productivity goals in a remote, non-phone environment.
  • Attend training sessions from 8:00 AM - 5:00 PM PST for 8 weeks with no time off.
  • Maintain a reliable home internet connection (hard-wired) and a dedicated workspace due to HIPAA requirements.
  • Ensure attendance and reliability are maintained, especially during the first 90 days.

Key Requirements and Technology Experience: 

  • 1+ year of healthcare denial management experience, including appeals processing and denial resolution.
  • Knowledge of medical records, medical terminology, and healthcare denial processes.
  • Experience using healthcare systems, including claims, correspondence, appeals tracking platforms, and TruCare.
  • Typing Test Required: 65 WPM – 98% accuracy.
  • Computer Literacy Test Required: 100% accuracy.
  • High School Diploma required. Must have an on-hand copy of HSD/Transcript.


Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

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Numbers & Facts

LocationHillsboro, OR (
Remote
)

Skills

  • Analysis Skillsunmatched
  • Artificial Intelligence (AI)unmatched
  • Consultingunmatched
  • Employee Benefitsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Healthcareunmatched
  • Mail Processingunmatched
  • Maintain Complianceunmatched
  • Medical Recordsunmatched
  • Medical Terminologyunmatched
  • Microsoft Excelunmatched
  • Microsoft Outlookunmatched
  • Microsoft Wordunmatched
  • Patient Care Denialsunmatched
  • Short Messaging Service (SMS)unmatched
  • Time Managementunmatched
  • Typingunmatched

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