Provider Dispute Claims Processor

High school diploma or equivalent; associate or bachelor’s degree is a plus. - At least 3–5 years of hands-on experience in provider dispute resolution within healthcare, third-party administrator (TPA), or health plan settings, including claims processing and adjudication. - Proficient in CPT, ICD-10, and HCPCS coding validation; experienced in handling Medicare claims and secondary coverage. - Skilled in claims denials, adjustments, and appeals processes, strong knowledge of authorization and eligibility verification. - Familiar with HIPAA, data privacy regulations, and basic cybersecurity standards. - Strong background in data analysis and visualization to identify trends, improve workflows, and support decision-making. - Claims Adjudication Systems: Experienced with platforms such as IDX and Facets. - Tools: Proficient in Microsoft Office Suite (Excel, Outlook, Word), with advanced Excel skills. - Can start ASAP. Requirements & Work Arrangement:

Can start ASAP. This is an urgent hiring. - Work Arrangement: This position is currently offered on a remote work basis after successful completion of training (In-office). However, please note that this is a performance-based role, and the company reserves the right to require employees to report onsite at any time based on business needs, performance evaluations, operational requirements. Flexibility to transition to an office-based setup when necessary is expected. Additional Benefits:

HMO - Medical & Dental (coverage on Day1 plus 1 dependent)

Transportation Allowance

Internat Allowance

Equipment will be provided