denial specialist ii.mcallen, texas (remote)posted september 4, 2026 job detailssummary$22.99 - $23 per hourtemporaryhigh schoolcategoryoffice and administrative support occupations reference AB_5042769 job details Role Summary We are seeking a highly detail-oriented Medical Correspondence Specialist to manage and generate critical communications for providers and members. In this role, you will support preservice and concurrent reviews by translating Medical Director decisions into accurate, compliant correspondence. You will play a vital role in ensuring that all letters, particularly time-sensitive denials and escalations, meet strict regulatory turnaround times.

Core Responsibilities Correspondence Generation:

Generate, process, and maintain accurate correspondence for both members and healthcare providers regarding preservice and concurrent reviews.

Clinical Translation:

Draft official correspondence based directly on Medical Director review documentation, ensuring all medical context is accurately represented.

Workflow Prioritization:

Actively manage and prioritize daily queues, with a focus on processing pending denial letters, handling urgent escalations, and meeting rigid compliance deadlines.

Regulatory Compliance:

Ensure all correspondence tasks are executed in strict accordance with industry regulatory standards, state/federal guidelines, and internal company policies.

Training and Performance Expectations Structured Onboarding:

Complete a comprehensive initial training program, followed by a dedicated 1-on-1 team-specific training session to master role-specific workflows.

Production Targets:

Achieve and sustain a daily production metric of 30 to 35 completed letters once fully trained and acclimated to the role.

Qualifications and Core Skills Experience:

1 to 2 years of relevant professional experience, preferably in healthcare administration, medical records, or a high-volume correspondence role. Computer Proficiency (Primary Skill): foundational computer skills, including navigating multiple systems simultaneously and efficient, accurate typing. Multitasking (Secondary Skill): Proven ability to manage competing priorities, handle escalations, and maintain workflow momentum in a fast-paced environment. Attention to Detail (Tertiary Skill): Exceptional accuracy in reading comprehension, data entry, and written communication to ensure zero-defect regulatory correspondence.

salary:

$22.99 - $23 per hourshift: Firstwork hours: 8 AM - 4

PMeducation:

High SchoolResponsibilitiesCorrespondence Generation:

Generate, process, and maintain accurate correspondence for both members and healthcare providers regarding preservice and concurrent reviews.

Clinical Translation:

Draft official correspondence based directly on Medical Director review documentation, ensuring all medical context is accurately represented.

Workflow Prioritization:

Actively manage and prioritize daily queues, with a focus on processing pending denial letters, handling urgent escalations, and meeting rigid compliance deadlines.

Regulatory Compliance:

Ensure all correspondence tasks are executed in strict accordance with industry regulatory standards, state/federal guidelines, and internal company policies.

Skillsdocumentation Multitask Attention to detailQualificationsYears of experience: 1 yearExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer:

Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.