Dispute Selection Specialist

Imagine360•,

4d•Remote

About The Position

Imagine360 is seeking a Dispute Selection Specialist to join the team! The Dispute Selection Specialist role, you will be responsible for essential handling of No Surprises Act claims. This will include researching claims for eligibility and reviewing and analyzing trends and data to strategically respond to Independent Dispute Resolution (IDR) notices in the CMS Portal.

Requirements

Bachelor's degree preferred
Minimum 1 year of healthcare, health insurance, or customer service experience
Excellent communication (written, verbal, and listening), interpersonal, and analytic skills
Knowledge and understanding of CMS1500 and UB04 Medical Claim Forms, medical coding, and proficiency in Microsoft Office products desired

Nice To Haves

Experience with negotiations preferred
Experience in billing, insurance, healthcare, or legal environments is a plus!

Responsibilities

Respond to Independent Dispute Resolution (IDR) requests in the IDR portal.
Research claims to confirm eligibility for handling according to the No Surprises Act (NSA).
Close cases based on the IDR determinations.
Assist management with various tasks and assignments.
Triage inquiries and questions from internal and external partners.
Report any system issues.
Meet daily production goals and performance objectives.
Adhere to HIPAA guidelines and regulations.
Other projects and duties as assigned.

Benefits

Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start
10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives