Demo

Medical Appeals Coordinator

TalentBridge
Reston, VA Full Time
POSTED ON 2/28/2025
AVAILABLE BEFORE 5/16/2025

Overview :

We are seeking a Medical Appeals Coordinator to manage disputes in the Independent Dispute Resolution (IDR) process between healthcare providers and insurers. This role requires a solid understanding of the No Surprises Act, strong analytical skills, and attention to detail.

Schedule : Monday- Friday

Key Responsibilities :

  • Review and analyze disputes, ensuring complete and accurate documentation.
  • Render impartial payment determinations based on the No Surprises Act and supporting regulations.
  • Request additional information as needed and document case details in the system.
  • Research and apply federal healthcare regulations to case-specific situations.
  • Ensure timely resolution while meeting productivity and quality standards.

Qualifications :

  • Education :  Bachelor’s degree  REQUIRED ; healthcare dispute resolution experience may substitute. Law degree, RN, or paralegal certification preferred.
  • Experience :  Background in healthcare law, arbitration, dispute resolution, or claims adjudication. Healthcare coding knowledge preferred.
  • Skills :  Strong critical thinking, excellent communication, knowledge of healthcare finance, and proficiency in case management systems.
  • INDEAST

    Salary : $25

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