Provider Disputes Support Specialist

Provider Disputes Support Specialist

Baton Rouge, LA | Job #: 27746

AMMON Staffing is hiring Provider Disputes Support Specialists for a 6-month, full-time temporary assignment with a leading healthcare/insurance organization.

Pay: Hourly

Schedule: Monday–Friday, 40 hours/week

Location: Onsite in Baton Rouge

Position Overview

This position provides administrative and clerical support for provider disputes, claims, appeals, and related case materials. Responsibilities include reviewing and organizing information, entering and tracking cases, assigning disputes to the appropriate staff, maintaining files, and communicating with internal departments.

The ideal candidate will have 2+ years of medical office, health insurance, claims processing, provider services, or member services experience and be comfortable working with detailed information in a fast-paced office environment.

Responsibilities

Review claims and case information related to provider disputes

Enter, track, organize, and assign dispute cases

Process incoming correspondence, referrals, and case documentation

Route appeals and related information to the appropriate departments

Maintain electronic and paper files and update databases

Prepare materials for appeal and dispute reviews

Research claims and authorizations using designated systems

Prepare reports and assist with administrative projects

Maintain confidentiality and follow applicable privacy and compliance requirements

Perform other administrative duties as assigned

Qualifications

High school diploma or equivalent required

2+ years of medical office, insurance, claims processing, provider services, or member services experience

Knowledge of claims processing or provider/member servicing

Proficiency with Microsoft Word, Excel, and PowerPoint

Strong attention to detail and organizational skills

Ability to manage multiple tasks, deadlines, and detailed information

Professional communication skills

Ability to maintain confidential information

Preferred Experience

Facets

Jiva

EPIC or similar healthcare systems

Provider disputes or appeals

Medical appeals

Claims research

Healthcare administration or health insurance

Screening Requirements

Background check, drug screen, employment verification, education verification, reference check, and E-Verify.

This is a great opportunity for someone with medical office, insurance, claims, or provider/member services experience who is looking to gain additional experience in healthcare administration.