New 
Denial Specialist II
 Professional Management Enterprises | |
 United States, Indiana, Indianapolis | |
 Dec 22, 2025 | |
|
Job Title: Denial Specialist II
Location: Remote Hours:Tues thru Sat for 10-7p Central OR Sun thru Thurs for 10-7p Central Position Purpose: Generates, processes and maintains provider and member correspondence for preservice and concurrent review. Education/Experience: Requires a High School diploma or GED Requires 1 - 2 years of related experience. Knowledge of denials process including understanding medical record information preferred. Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries Coordinates all data collection, analysis, and reporting activities that impact the denial process Assists with the compliance and turn-around time (TAT) log for all correspondence notifications Performs other duties as assigned | |