Provider Dispute Claims Processor

Seeking an experienced Provider Dispute Claims Processor to review, research, and resolve provider disputes in compliance with regulatory guidelines and internal policies. The role involves investigating denied or underpaid claims, utilizing systems like EZCap and IDX, and ensuring accurate adjudication across various healthcare specialties. Ideal candidates must have hands-on knowledge of Medi-Cal, Commercial Insurance, and Medicare claims while maintaining high accuracy and meeting turnaround time standards.