BusinessOperations - Denial Specialist II - J00915

Mindlance; Remote; CAD 40,000 - 60,000; Full time

Job summary

A healthcare services provider in Canada is seeking a candidate for a role that involves generating and maintaining provider and member correspondence for healthcare products. Candidates should have a high school diploma, 1-2 years of experience, and proficiency in Microsoft Office. Strong communication skills and attention to detail are essential. This opportunity offers career advancement and a collaborative work environment, emphasizing continuous learning and professional development.

Benefits

Opportunity for career advancement

Collaborative work environment

Professional development opportunities

Qualifications

• 1-2 years of related experience, preferably with knowledge of medical terminology and denial processes.
• Strong attention to detail with a focus on accuracy and compliance.
• Exceptional written and verbal communication skills in English.

Responsibilities

• Generate, process, and maintain provider and member correspondence for preservice and concurrent review.
• Create approval and denial letters based on authorization outcomes for healthcare products.
• Review letters for grammar, clarity, and compliance before distribution.
• Coordinate with authorization teams and clinical reviewers for clarification on decisions.
• Monitor work queues to prioritize letters based on turnaround time requirements.

Skills

Attention to detail

Communication

Microsoft Office proficiency

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft OneNote

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Collaborative and supportive work environment emphasizing open communication and knowledge sharing
• Regular team huddles and recognition programs to maintain engagement and motivation
• Professional development through training and continuous learning
• Experience in a production‑driven environment with performance metrics

What to Expect (Job Responsibilities):

• Generate, process, and maintain provider and member correspondence for preservice and concurrent review
• Create approval and denial letters based on authorization outcomes for healthcare products
• Review letters for grammar, clarity, and compliance before distribution
• Coordinate with authorization teams and clinical reviewers for clarification on decisions
• Monitor work queues to prioritize letters based on turnaround time requirements

What is Required (Qualifications):

• High school diploma or GED
• 1‑2 years of related experience, preferably with knowledge of medical terminology and denial processes
• Strong attention to detail with a focus on accuracy and compliance
• Proficiency in Microsoft Office applications, including Word, OneNote, and Excel
• Exceptional written and verbal communication skills in English

How to Stand Out (Preferred Qualifications):

• Experience generating, mailing, and/or electronically faxing approval and denial letters
• Ability to simplify complex information into clear, easy‑to‑understand language
• Experience working in production‑driven environments, meeting deadlines and performance metrics

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