Remote Dispute Analyst

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