What are the responsibilities and job description for the Claims Dispute Resolution Specialist position at Complete Care ER?
Position: Claims Dispute Resolution Specialist
Location: Southlake, Texas - In-office (not remote)
Job Type: Full-time
Location: Southlake, Texas - In-office (not remote)
Job Type: Full-time
Claims Dispute Resolution Specialist - Join Our Growing Team and Make a Difference!
Overview:
We are seeking an experienced and highly motivated Claims Dispute Resolution Specialist to join our team. This role requires expertise in medical billing, collection, and appeals, as well as a strong understanding of dispute resolution processes. The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements.
Key Responsibilities:
- Review and resolve medical billing, collection, and appeals disputes.
- Work with insurance companies, medical providers, and other stakeholders to resolve claims.
- Ensure compliance with all federal and state regulations in dispute resolution.
- Communicate effectively with all parties to facilitate the resolution of claims.
- Maintain accurate documentation of dispute resolution processes and outcomes.
- Prepare and submit required reports and documentation in a timely manner.
Requirements:
- Proven experience with medical billing, collections, and appeals processes.
- Strong understanding of medical billing codes and regulations.
- Excellent communication and negotiation skills.
- Strong attention to detail and organizational abilities.
- Ability to work independently and as part of a team.
- Ability to handle complex and sensitive information with confidentiality and professionalism.
Preferred Qualifications:
- Experience with State or Federal Independent Dispute Resolution processes (e.g., TDI 1264, NSA).
- Familiarity with industry regulations and dispute resolution protocols.
- Proficiency with medical coding, billing systems, and healthcare software.
Education and Experience:
- High School Diploma or equivalent required.
- Associate’s or Bachelor’s degree in healthcare administration, business, or related field is preferred.
- Minimum of 3 years of experience in medical billing, collections, and appeals.
- Demonstrated experience in dispute resolution, preferably in a healthcare setting.
How to Apply:
If you are an experienced Claims Dispute Resolution Specialist, we encourage you to apply!
Apply online at: www.visitcomplet
