California Temporary Provider Dispute Coordinator
A company is looking for a Temporary Provider Dispute Coordinator II.
Key Responsibilities
Coordinates and responds to moderate complexity level one inquiries in the Provider Dispute process
Assists with the coordination and completion of low to moderate complexity level two Provider Dispute cases
Performs administrative duties in support of the Claims Quality unit and related functions
Required Qualifications, Training, and Education
High school diploma or equivalent
Two years of experience in administering provider disputes or claims in a managed care setting, health plan, or provider office
Knowledge of healthcare coverage, benefit structures, and medical billing
Familiarity with Microsoft Word, Excel, Outlook, and database software
Ability to apply relevant claims processing guidelines and regulations
A company is looking for a Temporary Provider Dispute Coordinator II.
Key Responsibilities
Coordinates and responds to moderate complexity level one inquiries in the Provider Dispute process
Assists with the coordination and completion of low to moderate complexity level two Provider Dispute cases
Performs administrative duties in support of the Claims Quality unit and related functions
Required Qualifications, Training, and Education
High school diploma or equivalent
Two years of experience in administering provider disputes or claims in a managed care setting, health plan, or provider office
Knowledge of healthcare coverage, benefit structures, and medical billing
Familiarity with Microsoft Word, Excel, Outlook, and database software
Ability to apply relevant claims processing guidelines and regulations