Clinical Dispute Resolution Specialist (Medical)

Building Service 32Bj Benefit FundsNew York, NY
459d$80,000 - $90,000

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About The Position

The Clinical Dispute Resolution Specialist plays a crucial role in managing and overseeing the Independent Dispute Resolution (IDR) process within the Building Services 32BJ Benefit Funds. This position requires a strong clinical background to assess medical necessity in disputed cases, alongside proficient data entry and case management skills. The specialist will collaborate with healthcare providers and insurance companies to ensure compliance with federal regulations while maintaining accurate documentation and communication throughout the dispute resolution process.

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