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Job Requirements of Payor Dispute Coordinator:
QUALIFICATIONS / EXPERIENCE:- High school diploma or equivalent; some college preferred.
- Proficiency in Microsoft Office required, specifically Excel and Outlook.
- Strong organizational, analytical, and problem-solving skills, including escalating unusual circumstances to management.
- Ability to work independently within a group setting, in a fast-paced, deadline-driven environment.
- Comfortable adapting to frequent process changes and evolving system needs.
- Ability to work with confidential information and demonstrate HIPAA Compliance.
- Strong written and verbal communication skills.
- Professional attitude and appearance that convey confidence, maturity, and competence.
- Commitment to honest and ethical business conduct.
- Will be expected to acquire knowledge and understanding of the following:
- The Federal Independent Dispute Resolution (IDR) Process
- Explanation of Benefits (EOBs) and out-of-network payment guidelines
- Health Plan Provider Portals
- Athena (GE) Healthcare ETM module
- Review and identify eligible claims
- Accurate and compliant claim submission
- Internal communication and documentation
- All TeamHealth compliance regulations
PHYSICAL / ENVIRONMENTAL DEMANDS:
- This is a remote position, depending on several factors, to include production ability, employee preference, and training status.
- Remote positions require high speed internet access.
- Prolonged sitting
- Prolonged work on a PC/computer
- Periodic evening or weekend work when needed
- Moderate stress
Do you meet the requirements for this job?
Payor Dispute Coordinator
TeamHealth
Knoxville, TN (Remote)
Full-Time
TeamHealth 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 TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.
This is a REMOTE Position!
JOB DESCRIPTION OVERVIEW:
- This role offers a unique opportunity to contribute to the ongoing development and success of our Independent Dispute Resolution (IDR) operations under the No Surprises Act, a federal law that protects patients from surprise medical billing.
- As a Payor Dispute Coordinator, you will play a key role in preparing and supporting arbitration filings related to payment disputes between providers and health plans. You will collaborate with internal teams and external vendors to ensure accurate, timely, and strategic handling of dispute workflows.
- This is an ideal position for individuals looking to enter or grow within the revenue cycle space, particularly in an evolving, high-impact area of regulatory operations in today’s healthcare world.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Support the preparation and filing of payment disputes through the Federal IDR process.
- Analyze underpaid claims and prepare supporting documentation for arbitration.
- Enter and maintain accurate data related to dispute submissions, payer offers, and resolution outcomes.
- Act as a liaison between vendors and internal stakeholders to gather or share information.
- Track, process, and follow up on vendor invoices for arbitration-related services.
- Help ensure disputes are filed in a timely, compliant, and organized manner.
- Collaborate interdepartmentally to support process improvements and complete special projects.
- Learn and apply working knowledge of No Surprise Act, revenue cycle, and physician billing procedures.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
PHYSICAL / ENVIRONMENTAL DEMANDS:
- High school diploma or equivalent; some college preferred.
- Proficiency in Microsoft Office required, specifically Excel and Outlook.
- Strong organizational, analytical, and problem-solving skills, including escalating unusual circumstances to management.
- Ability to work independently within a group setting, in a fast-paced, deadline-driven environment.
- Comfortable adapting to frequent process changes and evolving system needs.
- Ability to work with confidential information and demonstrate HIPAA Compliance.
- Strong written and verbal communication skills.
- Professional attitude and appearance that convey confidence, maturity, and competence.
- Commitment to honest and ethical business conduct.
- Will be expected to acquire knowledge and understanding of the following:
- The Federal Independent Dispute Resolution (IDR) Process
- Explanation of Benefits (EOBs) and out-of-network payment guidelines
- Health Plan Provider Portals
- Athena (GE) Healthcare ETM module
- Review and identify eligible claims
- Accurate and compliant claim submission
- Internal communication and documentation
- All TeamHealth compliance regulations
PHYSICAL / ENVIRONMENTAL DEMANDS:
- This is a remote position, depending on several factors, to include production ability, employee preference, and training status.
- Remote positions require high speed internet access.
- Prolonged sitting
- Prolonged work on a PC/computer
- Periodic evening or weekend work when needed
- Moderate stress
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