Medical Claims Examiner - 249092

Only for registered members United States

1 month ago

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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

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