Job Description

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



Qualifications

Qualifications:

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

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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