Dispute Resolution Reviewer
Company: VirtualVocations
Location: Vista
Posted on: May 10, 2025
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Job Description:
A company is looking for a Dispute Resolution Reviewer.
Key Responsibilities
Review Explanation of Benefits (EOBs) and appeals from providers
and health plans under the No Surprises Act
Resolve disputes related to out-of-network provider charges by
following detailed internal policies
Research service codes, fees, and coverage policies using digital
tools and online databases
Required Qualifications
1+ year of experience in medical coding or billing
Experience handling insurance claims from the payer side
Ability to read and interpret EOBs, remark codes, and medical claim
language
Familiarity with dispute resolution, appeals processes, and
healthcare regulations
Associate's degree preferred, or 3+ years of total medical
billing/coding experience
Keywords: VirtualVocations, Placentia , Dispute Resolution Reviewer, Other , Vista, California
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