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