Denial Specialist Job at Workforce Connections, Saint Louis, MO

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  • Workforce Connections
  • Saint Louis, MO

Job Description

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 Role

The 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 Responsibilities
  • Generate 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 & Expectations
  • Fully 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
  • 3-week training period: Monday Friday, 8:00 AM 4:30 PM CST

  • No time off allowed during training

Available Schedules

You 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 Qualifications
  • High 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 Qualifications
  • CNA, CMA, Radiology Tech, Sonography Tech, or Coding certification

  • Previous experience in denials, appeals, or utilization management

Disqualifiers
  • Candidates who are not literate in written and spoken English

  • Candidates with only call center experience and no healthcare/medical terminology exposure

Top Skills (Ranked)
  1. Advanced computer and multitasking skills; ability to work independently

  2. Strong written English proficiency

  3. Experience with denials, appeals, or utilization management (preferred)

Job Tags

Hourly pay, January start, Monday to Friday, Shift work,

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