Elite Technical
Elite Technical

Healthcare Provider Disputes Specialist - (Citizen or Permanent Resident ONLY) -Contract - onsite in Baton Rouge, LA

Baton Rouge, LA, US • Posted 8 days ago • Updated 8 days ago
Contract W2
12 Months
No Travel Required
On-site
$20/hr
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Job Details

Skills

  • FEP
  • Medical
  • Appeals
  • EPIC
  • Provider
  • Dispute

Summary

Healthcare Provider Disputes Specialist (USC/ Permanent Resident ONLY)

5 Days Onsite

Elite Technical is seeking a Healthcare Provider Dispute Specialist. The selected candidate will coordinate the review of all cases by recording and assigning all provider disputes. Prioritizes, organizes, distributes, and tracks incoming mail/case material. Records the flow of information and assigns it to the appropriate person/queues.

- Reviews processed claims to identify valid provider disputes.
- Creates and assigns dispute cases in EPIC to Provider Dispute Specialists for review and resolution.
- Forwards Medical Appeals, FEP appeals, and Correspondence to the appropriate departments in a timely manner.
- Assigns tasks to Provider Disputes Specialist based on review and research of the incoming provider disputes.
- Assists with creating and maintaining electronic files and hard copy paper files; maintains and tracks department cases and files; assists with preparing and issuing reports required for various internal committee meetings and as needed on an ad hoc basis. Assists with updating database for all dispute cases.
- Coordinates intake, tracking, and distribution of provider disputes, appeals, and correspondence.
- Assists leadership with administrative support, case reporting, and file maintenance while ensuring compliance with privacy and regulatory requirements.

This position is 100% onsite at our clients Baton Rouge Corporate office.

<>Required Skills

- Education: High School Diploma or equivalent is required.
- 2 years of general medical/insurance office experience with either claims processing knowledge or provider/member servicing is required.
- Must have strong experience reviewing and researching incoming provider disputes.
- Must have experience using Microsoft Office applications, including Word, Excel and PowerPoint.
- Facets experience is preferred.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10121845
  • Position Id: 9069057
  • Posted 8 days ago

Company Info

About Elite Technical

Technical recruiting is our core expertise and we're hiring! Our mission is to fill the greatest tech jobs with the most talented people! We are an innovative technology recruiting company – driven by talented people and utilizing the latest in AI technology! For 30 years, we have provided top-tier technical talent and high-level technology solutions to industry leaders. With carefully honed processes and impeccable execution, our talent acquisition program enables our customers to focus on and deliver the services for which they are renowned. Today, our highly regarded client base includes leaders in Aerospace & Defense, Commercial Enterprise, Financial IT, Healthcare IT, Broadcast & Media, as well as top-tier federal systems integrators and key governmental agencies. Founded in New York in 1992, Elite Technical is a privately held, certified Woman-Owned Small Business (WOSB).

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Tia Sharma

Tia Sharma

Sr. Technical Recruiter @ Elite Technical
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