Denial Specialist

A-Line Staffing is now hiring a Full-Time, Remote, Denial Specialist! (MUST BE IN A PST, MST, OR CST TIME ZONE – NO EST ALLOWED! BUT MUST BE OKAY WITH THE 1PM-10PM EST HOURS). (MUST COMPLETE A TYPING TEST AND COMPUTER BASICS TEST FOR RESUME SUBMITTAL. LOOKING FOR 60+ WPM OR CLOSE). Job Summary: We are seeking a detail-oriented Denial Specialist II to join our Medicaid UM Health Support Operations team. This role is responsible for processing, tracking, and managing healthcare denial correspondence and appeals in a fully remote environment. The ideal candidate will have strong healthcare denial management experience, excellent attention to detail, and the ability to work independently in a fast-paced, deadline-driven setting. This position supports provider and member correspondence related to preservice and concurrent review, ensuring accuracy, compliance, and timely processing of denial documentation. Denial Specialist Compensation The pay for this position is $23.00/hr Benefits are available to full-time employees after 90 days of employment Denial Specialist Highlights This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs The required availability for this position is Training: Monday–Friday, 8:00 AM–5:00 PM (6–8 weeks, no time off allowed) Post-training schedule: Monday–Friday, 1:00 PM–10:00 PM EST Denial Specialist Responsibilities · Process denial management tasks using claims systems, correspondence platforms, and appeals tracking tools · Review and prioritize pending denial letters, escalations, and compliance deadlines · Maintain accurate and timely documentation of denial determinations and correspondence · Monitor email and internal updates for policy or payer changes impacting denial workflows · Meet productivity expectations once fully trained: Minimum 4 denial letters/hour OR 6–7 approval letters/hour · Work independently in a fully remote environment with no phone-based responsibilities Denial Specialist Requirements High School Diploma or equivalent 1+ year of experience in healthcare denial management, claims, appeals, or correspondence processing Strong understanding of medical terminology and medical record documentation Proficiency with Microsoft Office 365 (Excel, Outlook, Word, Teams, OneNote) Typing speed: minimum 60 WPM with 95% accuracy Strong time management, multitasking, and organizational skills Ability to work independently in a remote setting Preferred Qualifications Experience with denial management systems, claims platforms, or appeals tracking tools Familiarity with healthcare payer processes and UM workflows If you think this Denial Specialist position is a good fit for you, please reach out to me—feel free to call, e-mail, or apply to this posting!