Provider Dispute Resolution Coordinator

Job Summary

Providing clerical support to the Provider Dispute Resolution team, the full-time remote Provider Dispute Resolution Coordinator will manage documentation requests, assist in organizing disputes and appeals, and ensure compliance with regulatory standards.

Key responsibilities

• Provide clerical support including data entry, updating claim statuses, and managing correspondence
• Contact providers for necessary documentation and assist in organizing dispute files
• Support department initiatives to improve processes and maintain quality standards

Required qualifications

• 1-2 years of experience in claims data entry and clerical roles within a healthcare claims environment
• High School Diploma required
• Working knowledge of claims processing systems; familiarity with Medicare claims is a plus
• Proficient in Microsoft Excel and Word
• Strong organizational and customer service skills