Remote Provider Dispute Resolution Specialist
VirtualVocations
Remote
remote
dispute
dispute resolution
medicare
medicare advantage
healthcare
remote
dispute
dispute resolution
tracking
cms
medical
high school
January 27, 2023
VirtualVocations
Vancouver, Washington
A healthcare company needs applicants for an opening for a Remote Provider Dispute Resolution Specialist.
Core Responsibilities Include:
Updating tracking system to ensure cases are processed timely and appropriate actions are taken
Reviewing and processing provider appeal and disputing determinations according to CMS, contractual and processing guidelines
Required Skills:
3+ years experience processing Medicare Advantage provider appeals
3+ years experience in examining all types of medical claims, preferably Medicare Advantage claims
High School Diploma
Core Responsibilities Include:
Updating tracking system to ensure cases are processed timely and appropriate actions are taken
Reviewing and processing provider appeal and disputing determinations according to CMS, contractual and processing guidelines
Required Skills:
3+ years experience processing Medicare Advantage provider appeals
3+ years experience in examining all types of medical claims, preferably Medicare Advantage claims
High School Diploma
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