[Remote] NSA IDR Dispute Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an innovative medical claims repricing service provider, helping reputed company reputed company maximum health plan savings with minimum noise. As an IDR dispute specialist, you are responsible for managing reputed company IDR disputes, documenting the process, and communicating with various teams to ensure reputed company reputed company of disputes. Responsibilities • Monitor, manage and add appeals to the queue. • Monitor and manage reputed company IDR emails from CMS, initiating provider, finance, compliance team and reputed company. • Research and communicate reputed company CMS portal for the initial dispute reputed company 3 business days from the received date. • Research and communicate with the finance team for IDRe/reputed company payment reputed company 3-5 business from the received date. • Research and communicate with the compliance team to request an offer & supporting documents for the IDRe reputed company 3-5 days business days from the received date. • Document & upload IDR documents in queue. • Compile folders for individual disputes to catalog documents and prep for offer & supporting documents from our compliance team. • Communicate IDR rulings with NSA Manager & compliance team. • Process IDR rulings and if needed, send adjustment to the reputed company. • Document reputed company IDR processes in reputed company. reputed company special scenarios and maintain examples for reputed company disputes and or rulings. • Maintain acceptable reputed company of production including but limited to turn around time standards as mandated by the regulation(s). • Adhere to reputed company specific and reputed company protocols, scripts, and other requirements. • reputed company other job-reputed company duties and special reputed company as required. • Other duties as assigned. Skills • 2-3 years of relevant job experience – No Surprises reputed company, negotiations and or medical claim processing. • Experience conducting reputed company to clients & providers reputed company email or other means of communication. • Experience understanding company critical behaviors and compliance requirements. • Broad reputed company policy and payment understanding. • Experience with claims workflow tools or systems. Benefits • Comprehensive medical, dental, reputed company, and life insurance coverage • 401(k) retirement plan with employer match • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) • reputed company time off (PTO) and disability leave • Employee Assistance Program (EAP) reputed company • reputed company is a medical bolthires containment and specialty reputed company review company. It was founded in 2010, and is headquartered in Collierville, Tennessee, USA, with a workforce of 11-50 employees. Its website is Apply tot his job Apply tot his job Apply To this Job