RN Licensed Medical Dispute Specialist

Job Summary

A company is looking for a Medical Dispute Resolution Specialist.

Key Responsibilities

• Reviews medical records and writes clear, concise, and impartial dispute resolution decisions
• Makes independent decisions based on medical evidence and relevant regulations
• Conducts research on federal regulations and healthcare practices to support accurate decision-making

Required Qualifications

• Associate's degree or 60 credit hours towards a Bachelor's degree in healthcare or related discipline
• RN or LLP license required
• Three years of experience in medical dispute resolution or related healthcare settings
• Experience in writing appeal or payment determinations preferred
• Coding certificate preferred