Appeals and Disputes Coordinator
The Appeals and Disputes Coordinator handles the appeals and disputes process by receiving, processing, and resolving claims and appeals and disputes. Responsibilities including contacting and interviewing the appropriate subject matter expert to research appeals and disputes issues, generate decision letters, and identify and report trends and solutions.
Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
High School Diploma or GED
Associates degree or equivalent preferred - health care related
At least two (2) years of claims/billing or applicable health care experience
Knowledge of ICD 9 and ICD 10, CPT / HPCS codes, and APR_DRG
Ability to manage multiple tasks and prioritize work tasks to adhere to deadlines and indentified time frames
Knowledge of Medicaid and Medicare regulations and guidelines