Provider Disputes Coordinator

Job Summary

A company is looking for a Coordinator Provider Disputes.

Key Responsibilities

• Manage and adjudicate provider disputes, determining ownership and investigating claim denials
• Maintain accurate records of provider disputes and ensure timely resolution according to policy
• Communicate with providers to resolve issues and report on data quality concerns to management

Required Qualifications

• High School Diploma/GED required; Associate Degree in health services administration preferred
• 1 to 3 years of medical office billing experience, preferably with Medicaid billing
• Experience in medical office administration or claims administration is preferred
• Proficiency in MS Word, Excel, and PowerPoint