Job Summary
A health insurance company is seeking a Remote Licensed Reimbursement Dispute Analyst.
Core Responsibilities of this position include:
- Examining claims for compliance with relevant billing and processing guidelines
- Reviewing and conducting analysis of claims and medical records prior to payment
- Researching, validating and staying abreast of new healthcare-related questions, medical coding and billing issues
Qualifications for this position include:
- Remote position - reside within one hour commuting distance to any CA company office
- Reside and be licensed in the state of CA
- AAS (LPN or LVN,)
- 4+ years related medical coding and/or auditing experience
- 3 years of handling provider disputes complaint/dispute and written correspondence or the equivalent combination of education and experience
- Demonstrated knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology
