Medical Claims Examiner - 249092
1 month ago

Job summary
We are seeking a detail-oriented Medical Claims Adjudication Specialist to support a federally certified Independent Dispute Resolution Entity (IDRE) program under the No Surprises Act.Responsibilities
- Review and adjudicate payment disputes in accordance with IDRE policies and regulatory guidance
- Evaluate submitted documentation and select between proposed payment offers
- Prepare clear, well-supported written determinations
- Ensure timely, accurate case documentation and data entry
Job description
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