Provider Disputes Claims Examiner
AltaMed Health Services(2 months ago)
About this role
A Provider Dispute Claims Examiner at AltaMed analyzes and adjudicates managed care medical claims, resolving payment issues presented through the Provider Dispute Resolution process or claims inquiries. The role identifies root causes of payment errors, generates related reports, and collaborates with internal departments and external providers to achieve resolution.
Required Skills
- Claims Processing
- Claims Adjudication
- Provider Relations
- Medical Billing
- CMS-1500
- UB-04
- Contract Interpretation
- Root Cause Analysis
- Reporting
- Mathematics
Qualifications
- HS Diploma
- GED
About AltaMed Health Services
altamed.orgAltaMed is your community health network. Find compassionate, culturally sensitive health care services that meet your family’s needs at every stage of life.
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