Claims Dispute Analyst

Company: VirtualVocations
Location: Gary
Posted on: April 27, 2025

Job Description:

A company is looking for an Inquiries, Appeals, and Dispute Analyst.
Key Responsibilities

Review and finalize claims reports for approval status and payment/denial
Investigate and analyze claim appeals and disputes, preparing comprehensive responses
Communicate resolutions to members, providers, or other stakeholders regarding inquiries and claims status

Required Qualifications

Minimum 2-5 years of claims processing experience
Knowledge of CPT and ICD coding
Ability to read and understand benefit plan descriptions
Intermediate to advanced proficiency in Microsoft Office products
Thorough understanding of claims processing compliance requirements

Keywords: VirtualVocations, Oak Park , Claims Dispute Analyst, Professions , Gary, Illinois

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