Remote Licensed Reimbursement Dispute Analyst

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 24, 2020

This job expires in 29 days

Job Category: Healthcare, Insurance

Remote Level: Partially Remote

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

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