BusinessOperations - Denial Specialist II - J00915

Mindlance; Ottawa; On-site; CAD 80,000 - 100,000; Full time

Job summary

A healthcare services provider in Ottawa is seeking a candidate for correspondence processing in healthcare services. This role emphasizes career growth and independence, requiring strong computer skills and medical terminology knowledge. Responsibilities include generating and maintaining correspondence related to service reviews and ensuring compliance with regulatory standards. The ideal candidate should have a high school diploma, relevant experience, and proficiency in English. Join us for a supportive work environment and the chance to excel in the healthcare sector.

Benefits

Opportunity for career advancement

Flexible work environment

Supportive team culture

Qualifications

• 1-2 years of related experience including basic medical knowledge.
• Knowledge of the denials process and medical records.
• Ability to multitask across different systems.

Responsibilities

• Generate and maintain provider and member correspondence.
• Ensure compliance and timely processing of correspondence.
• Update correspondence templates based on regulatory inquiries.
• Assist with compliance and turnaround time (TAT) logs.

Skills

Basic knowledge of medical terminology

Proficient in written English

Advanced computer skills

Strong typing accuracy

Education

High School diploma or GED

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Flexible work environment with independent responsibilities
• Emphasis on timely and accurate processing of correspondence
• Supportive team culture focused on compliance and regulatory standards
• Chance to work with advanced computer systems and healthcare terminology

What to Expect (Job Responsibilities):

• Generate, process, and maintain provider and member correspondence for preservice and concurrent review
• Ensure timely processing of correspondence tasks in compliance with regulatory standards
• Update and maintain correspondence templates based on regulatory inquiries
• Coordinate data collection, analysis, and reporting activities impacting the denial process
• Assist with compliance and turnaround time (TAT) logs for all correspondence notifications

What is Required (Qualifications):

• High School diploma or GED
• 1-2 years of related experience, including basic knowledge of medical terminology
• Knowledge of the denials process and medical record information
• Proficient in written English language
• Advanced computer skills and ability to multitask across different systems

How to Stand Out (Preferred Qualifications):

• Experience as a CNA, CMA, Radiology Tech, Sonography Tech, or with coding certification
• Previous experience in denial management, appeals, or utilization management
• Strong typing accuracy and punctuation skills (90% and up)

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.