Notice of Action (Denial) Technician (AZ Remote) – Amazon Store

Notice of Action (Denial) Technician (AZ Remote) – Amazon Store Skip to content October 9, 2025 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 Remote Quality Assurance Program Manager – Nurse Call Center Content Moderator (Contract) - Urgent Hire Hebrew Speaking Content Moderator Social Media Content Moderator- Bilingual ( Arabic/ English ) Area Manager 2026 – Texas (Recent and Upcoming Graduates) Amazon 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 Amazon Delivery Driver Loss Prevention Site Lead Work From Home-Online- Hotel Reservationist/Entry Level Appointment Setter – Remote Remote Flight Reservationist Southwest Airlines 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 | Amazon | Data Entry | Customer Service - Now Hiring Warehouse Clerk Remote Live Chat Agent Chat Support Agent /Remote/ - 15 - 18/hr Amazon 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 via 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 within 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 all 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 Segment staff regarding specific denials and/or denial process. Conduct peer reviews of denial documentation prepared by department colleagues to confirm compliance with requirements. Review denial documentation prepared 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. Nice-to-haves Completion of Medical Assistant or Pharmacy Technician program. Choosing a selection results in a full page refresh. Opens in a new window.