Independent Dispute Resolution Specialist

Independent Dispute Resolution Specialist, a full-time position, is responsible for analyzing healthcare claims, managing the Independent Dispute Resolution process, and ensuring timely resolution of claim issues. Key Responsibilities Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR) Perform daily audits to identify discrepancies such as zero-dollar payments or negative balances Resolve outstanding claim issues promptly while maintaining accurate records of actions taken Required Qualifications Strong analytical skills with experience in healthcare claims analysis Experience in auditing and identifying discrepancies in financial records Ability to manage a busy inbox and ensure timely responses to inquiries Collaboration skills to support team workload balance and efficiency Understanding of medical billing and coding related to out-of-network claims