Payer Dispute Resolution Coordinator (Part Time)

CareDx, Inc.

3d • $25 - $25 • Remote

About The Position

CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients. We are seeking a skilled, part-time Payer Dispute Resolution Coordinator to join our team. This role plays a crucial part in coordinating and performing claim work related to payer disputes, appeals, and legal challenges to denied claims. The ideal candidate possesses excellent written communication skills, meticulous attention to detail, and a strong ability to work independently in a fast-paced environment.

Requirements

• 1-2 years of recent college education required.
• High school diploma
• 2 years of work experience with demonstrated ability to meet deadlines, perform administrative tasks accurately, and contribute to the team results.

Responsibilities

• Analyze insurance payer policies, dispute procedures, and state insurance regulations.
• Utilize Electronic Health Records (EHR), Electronic Medical Records (EMR), and insurer portals effectively.
• Work in the Revenue Cycle Management (RCM) system to research patient eligibility, claim submissions, denials and payments, and appeals.
• Use Power BI dashboards to analyze denial and payment patterns and generate claim lists for research, appeals & disputes.
• Assist with deadlines, court hearings, and case-related scheduling.
• Ensure strict adherence to insurance regulations and insurance appeal procedures.
• Identify and assist with implementation of solutions for claim denials and reimbursement disputes.
• Conduct research on payer disputes, insurance policies, and regulatory requirements.
• Retrieve and organize relevant documents from internal sources.
• Assist with drafting letters, including appeals and dispute-related legal filings.
• Prepare correspondence directed at patients, third parties, and legal entities.
• Maintain well-organized case files to ensure efficient access to key materials.
• Contribute to broader team efforts by assisting with various administrative and legal tasks.
• Analyze findings and compile comprehensive reports to support resolution strategies.
• Work independently while maintaining professionalism, confidentiality, and sound judgment.

Benefits

• Competitive base salary and incentive compensation
• Health and welfare benefits, including a gym reimbursement program
• 401(k) savings plan match
• Employee Stock Purchase Plan
• Pre-tax commuter benefits
• Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees