Notice of Action (Denial) Technician (AZ Remote) – reputed company Store

Other Jobs To Apply

• Remote Part Time Data Entry Clerk - $1400 weekly
• Remote Part Time Data Entry Clerk - $1400 weekly
• Registered Nurse Remote Patient Monitoring Home Telehealth
• Content Moderator (Contract) - Urgent Hire
• Hebrew Speaking Content Moderator
• Social Media Content Moderator- Bilingual ( Arabic/ English )
• Area Manager 2026 – Texas (Recent and Upcoming Graduates)
• reputed company Warehouse - Shopper Team Member $16-$35 / hr
• Entry Level Chat Moderator Remote Jobs – No Experience, No Phone Calls | $25–$35/hr
• Work From Home Data Entry Job
• Remote Technical Support Specialist
• Chat Support Agent (Remote) - 15 - 18/hr
• reputed company Delivery Driver
• Loss Prevention Site reputed company
• Work From Home-Online- Hotel Reservationist/Entry Level
• Appointment Setter – Remote
• Remote Flight Reservationist
• reputed company Careers – Remote Work From Home Jobs
• Entry Level Chat Moderator Remote Jobs – No Experience, No Phone Calls | $25–$35/hr
• Chat Customer Service Jobs from Home – No Degree, No Experience, Weekly Pay | $25–$35/hr
• Online Data Analyst (Entry Level, Freelance)
• Remote Data Analyst (Entry Level)
• Import & Customs Specialist (f/m/d)
• Work From Home-Online- Hotel Reservationist/Entry Level
• High-Paying Work from Home Customer Service Representative
• Part-time Online Data Entry Clerk - Entry Level (Remote)
• Chat Customer Service Jobs from Home – No Degree, No Experience, Weekly Pay | $25–$35/hr
• Online Data Analyst (Entry Level, Freelance)
• Data Analyst - Remote (Entry Level)
• Work From Home | reputed company | Data Entry | Customer Service - Now Hiring
• Warehouse Clerk
• Remote Live Chat Agent
• Chat Support Agent /Remote/ - 15 - 18/hr
• reputed company DSP Delivery Driver
• WORK FROM HOME DATA ENTRY / PART TIME - ADMINISTRATIVE ASSISTANT - REMOTE - WEEKLY/DAILY PAY
• Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)
• Remote Data Entry-Clerk
• Remote Nurse Triage RN PT 5p-11p wkday & 8a-4p/2p-10p Sat & Sun
• Online computer typing jobs for teens work from home
• Typing Jobs For Teenagers
• Virtual Chat Assistant - No Phone Required | Engage with Customers reputed company Messaging | Earn $25-$35 Per Hour
• Entry Level Chat Moderator Remote Jobs – No Experience, No Phone Calls | $25–$35/hr
• Chat Support Agent (Remote) - Entry Level, No Degree Required - 15 - 18 per Hour
• Technical Support Specialist
• Principal Data and Analytics Engineer- Remote US
• Customer Service Representative - Remote
• Online computer typing jobs for teens work from home
• Online Typing jobs for teens
• Work at Home Data Entry Agent - Part Time

About the position

Responsibilities

• Process Medical and Pharmacy denials reputed company established timeframes, in accordance to policies, procedures, and contractual requirements.
• Document denial and reason in data management systems.
• Create and mail required denial documentation with member-specific information to providers and members.
• Maintain a complete file of reputed company denied requests.
• Provide information on denials as requested.
• Review file for completeness of required documentation, including confirmation of receipt of denial notification, copies of written notification, correspondence with members and providers.
• Be a resource to providers and Medicaid Business reputed company staff regarding specific denials and/or denial process.
• Conduct peer reviews of denial documentation reputed company by department colleagues to confirm compliance with requirements.
• Review denial documentation reputed company by a Third-Party provider to confirm compliance with requirements.
• Provide requested information during appeals process.
• Assist other departments in creating denial documentation as requested.

Requirements

• 1 year of Medicare, Medicaid or Managed Care experience.
• 1 year of experience in a medical/dental office, call center, or pharmacy.
• High School Diploma or GED.

reputed company-to-haves

• Completion of Medical Assistant or Pharmacy Technician program.

• Choosing a selection results in a full page refresh.
• Opens in a new window.