Medical Coding Dispute Reviewer

A company is looking for a Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert). Key Responsibilities Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act Resolve disputes related to out-of-network provider charges by following detailed internal policies Research service codes, fees, and coverage policies using digital tools and online databases Required Qualifications 1+ year of experience in medical coding or billing Experience handling insurance claims from the payer side Ability to read and interpret EOBs, remark codes, and medical claim language Familiar with dispute resolution, appeals processes, and healthcare regulations Associate's degree preferred but not required with 3+ years of total medical billing/coding experience

Apr 25, 2025 - 15:34

A company is looking for a Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert). Key Responsibilities Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act Resolve disputes related to out-of-network provider charges by following detailed internal policies Research service codes, fees, and coverage policies using digital tools and online databases Required Qualifications 1+ year of experience in medical coding or billing Experience handling insurance claims from the payer side Ability to read and interpret EOBs, remark codes, and medical claim language Familiar with dispute resolution, appeals processes, and healthcare regulations Associate's degree preferred but not required with 3+ years of total medical billing/coding experience