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Claims Dispute Analyst
A company is looking for an Inquiries, Appeals, and Dispute Analyst. Key Responsibilities Review and finalize claims reports for approval status and payment/denial Investigate and analyze claim appeals and disputes, preparing comprehensive responses Communicate resolutions to members, providers, or other stakeholders regarding inquiries and claims status Required Qualifications Minimum 2-5 years of claims processing experience Knowledge of CPT and ICD coding Ability to read and understand benefit plan descriptions Intermediate to advanced proficiency in Microsoft Office products Thorough understanding of claims processing compliance requirements
A company is looking for an Inquiries, Appeals, and Dispute Analyst.
Key Responsibilities
Review and finalize claims reports for approval status and payment/denial
Investigate and analyze claim appeals and disputes, preparing comprehensive responses
Communicate resolutions to members, providers, or other stakeholders regarding inquiries and claims status
Required Qualifications
Minimum 2-5 years of claims processing experience
Knowledge of CPT and ICD coding
Ability to read and understand benefit plan descriptions
Intermediate to advanced proficiency in Microsoft Office products
Thorough understanding of claims processing compliance requirements