This role provides lead work and subject matter expertise through technical support and one-on-one training. Responsibilities include computing, classifying, recording and maintaining numerical data following regulations and policies to keep financial records complete, and performing general office duties. The specialist ensures completeness of disputes before forwarding to a Dispute Resolution Reviewer (DRR), confirming administrative fees have been received and accepted.
Key duties:
- Serve as lead and subject matter expert for Dispute Resolution Analysts and Clerks.
- Review documentation and communicate with insurance carriers and providers.
- Analyze medical billings for appropriate payment classifications.
- Use knowledge to resolve pricing dispute issues.
- Access electronic financial payment information to answer account-related questions.
- Assist with contract/project questions, including compliance with CMS guidelines.
Minimum qualifications include a high school diploma or equivalent, four years general office experience (college or technical training can substitute), and preferred experience in general accounting and healthcare industry.
- High School diploma or equivalent
- Four (4) years general office experience (college or technical training in administration, business, or related areas may substitute year per year)
- Preferred: Experience in general accounting and healthcare industry
- Credit check required
- Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
- Section 125 plan
- 401K
- Competitive salary
- License/credentials reimbursement
- Tuition Reimbursement
Location
Jacksonville, Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago