The CW Provider Disputes Support Specialist Intern will provide support for the intake, tracking, assignment, and distribution of provider dispute cases and related correspondence. Duties will include assisting in the coordination of intake, assignment, prioritization, and tracking of provider dispute cases, correspondence, and related documentation. The intern will support the Provider Disputes team to help maintain accurate records of incoming cases, referrals, and communications to support timely resolution and regulatory compliance. They will also assist in the distribution of provider disputes, appeals, correspondence, and other case materials to appropriate departments and staff for review and action. Additionally, the intern will assist management with reporting, administrative tasks, case monitoring, and follow-up activities to support department operations. A key part of the role involves navigating multiple healthcare systems, including claims and authorization platforms, to research and support the processing of provider disputes and appeals. Collaboration with internal departments such as Provider Services, Member Services, Utilization Management, Correspondence, and Legal is essential to facilitate case resolution and ensure accurate communication with providers.
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Job Type
Part-time
Career Level
Intern
Education Level
Associate degree