Payor Dispute Coordinator

Payor Dispute Coordinator – Team Health

Location:

Remote

Working Level: Full-Time

Job Category:
Admin-Clerical, Administrative,uda Healthcare

Team Health is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make Team Health tick. Whether you have your eye on the home office or one of our locations around the country, atividades find your place here.

This position is for a talented, knowledgeable, and skilled individual to work collaboratively with our team on payer audits and appeals as well as the appeals and arbitration of disputed payment amounts. This is a unique opportunity to be included in the development and expansion of the Independent Dispute Resolution (IDR)/Arbitration Department. The Payor Dispute Coordinator will oversee tasks delegated by the Director or Project Manager.

This position requires organization and flexibility, and the ability to prioritize tasks while working independently. The coordinator will participate in a wide variety of tasks and will be an instrumental member of the team requiring a positive and motivated disposition.

• Act as a liaison with billing centers to obtain or distribute information as requested.
• Communicate with vendors by telephone or email as required.
• Process incoming invoices from vendors; code and submit for approval in a timely manner.
• Follow up on vendor invoices as required.
• Data entry: filing payment disputes and posting offers from health plans.
• Analyze payments, prepare appeals for IDR.
• Make appropriate decisions regarding complicated issues for tasks assigned.
• Collaborate with various team members to support activities and workflows.
• Demonstrate knowledge of physician billing; learn and understand elements of the revenue cycle.
• Possess a thorough understanding of physician billing policies, procedures, and processes as needed.
• Meet deadlines in a timely manner.
• Complete special projects and other duties as assigned.

• High school diploma or equivalent; some college preferred.
• Experience in physician healthcare reimbursement.
• Strong understanding of revenue cycle management is a plus.
• Proficiency in Microsoft Office, especially Excel spreadsheets, formulas, pivot tables, and filters.
• Strong organizational, analytical, and problem-solving skills
  
  Energy bring unusual circumstances to a manager’s attention.
• High energy, self‑starter who is creative and outgoing.
• Will acquire knowledge of:
  Medical professional billing guidelines and compliance, CPT, HCPCS, ICD‑10, Reimbursement, Payer edits, RVUs, Accounts Receivable.
• Ability to work with confidential information, demonstrate HIPAA compliance.
• Work independently, in a fast-paced, deadline-driven environment.
• Strong communication skills.
• Teamwork with superiors and peers.
• Professional appearance and demeanor.
• Honest and ethical business conduct.