Payor Dispute Coordinator

Job Summary

A company is looking for a Payor Dispute Coordinator to support arbitration filings related to payment disputes between providers and health plans.

Key Responsibilities

• Support the preparation and filing of payment disputes through the IDR process
• Analyze underpaid claims and prepare supporting documentation for arbitration
• Act as a liaison between vendors and internal stakeholders to gather or share information

Required Qualifications

• High school diploma or equivalent; some college preferred
• Proficiency in Microsoft Office, specifically Excel and Outlook
• Ability to work independently in a fast-paced, deadline-driven environment
• Commitment to honest and ethical business conduct
• Willingness to learn about State Surprise Billing Law and related processes