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TeamHealth · 7 hours ago

Payor Dispute Coordinator

United States

Full-time

Remote

New Grad, Entry Level

TeamHealth is focused on managing Independent Dispute Resolution operations under the No Surprises Act. The Payor Dispute Coordinator will support arbitration filings related to payment disputes and collaborate with various teams to ensure efficient dispute workflows.

Health CareMedicalProfessional Services

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

Qualification

Microsoft OfficeAnalytical skillsHIPAA ComplianceIDR ProcessProblem-solving skillsProfessional attitudeHealth Plan Provider PortalsAthena Healthcare ETMCommunication skillsOrganizational skills

Required

High school diploma or equivalent

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