Dispute Resolution Analyst
Job Summary
Supporting the Independent Dispute Resolution programs, the full-time remote Dispute Resolution Analyst will manage the coordination of dispute resolution documents, analyze case files, and respond to inquiries regarding reconsiderations and dispute resolutions.
Key Responsibilities
- Coordinates the delivery of re-determination files and dispute resolution documents to external entities
- Builds and analyzes reconsideration case files to ensure compliance with CMS requirements
- Responds to inquiries from appellants, patients, and providers regarding the dispute resolution process
Required Qualifications
- One year of experience with provider disputes or claims
- One year of interaction with claims involving larger insurance plans
- One year of general office or administrative experience
- High School Diploma or equivalent
Complete Job Description
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