California Temporary Provider Dispute Coordinator

Job Summary

A company is looking for a Temporary Provider Dispute Coordinator II.

Key Responsibilities

• Coordinates and responds to moderate complexity level one inquiries in the Provider Dispute process
• Assists with the coordination and completion of low to moderate complexity level two Provider Dispute cases
• Performs administrative duties in support of the Claims Quality unit and related functions

Required Qualifications, Training, and Education

• High school diploma or equivalent
• Two years of experience in administering provider disputes or claims in a managed care setting, health plan, or provider office
• Knowledge of healthcare coverage, benefit structures, and medical billing
• Familiarity with Microsoft Word, Excel, Outlook, and database software
• Ability to apply relevant claims processing guidelines and regulations