Payor Dispute Coordinator

Job Summary

A company is looking for a Payor Dispute Coordinator to manage payer audits and appeals, focusing on disputed payment amounts.

Key Responsibilities

• Act as a liaison with billing centers and vendors for information exchange
• Process and follow up on vendor invoices, ensuring timely submission and coding
• Analyze payments and prepare appeals for Independent Dispute Resolution (IDR)

Required Qualifications, Training, and Education

• High school diploma or equivalent; some college preferred
• Experience in physician healthcare reimbursement
• Strong understanding of revenue cycle management is a plus
• Proficiency in Microsoft Office, particularly Excel
• Knowledge of medical billing guidelines and compliance, including CPT, HCPCS, and ICD-10