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Medical Coding Dispute Analyst
Job Summary
A company is looking for a Case Analyst.
Key Responsibilities
- Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act
- Resolve disputes related to out-of-network provider charges by following detailed internal policies
- Research service codes, fees, and coverage policies using digital tools and online databases
Required Qualifications
- 1+ year of experience in medical coding or billing
- Experience handling insurance claims from the payer side
- Ability to read and interpret EOBs, remark codes, and medical claim language
- Familiarity with dispute resolution, appeals processes, and healthcare regulations
- Associate's degree preferred but not required with 3+ years of medical billing/coding experience
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COMPLETE JOB DESCRIPTION
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