Provider Dispute Intake Coordinator
Not Disclosed•TemporaryHybrid
location_onHybrid
About the Role
The Provider Dispute Intake Coordinator is a vital member of the Provider Disputes team, serving as the central hub for managing the intake, tracking, and distribution of provider disputes, appeals, and related correspondence. This role exists to ensure that every incoming case is accurately recorded, prioritized, and assigned for timely review and resolution, directly supporting efficient claims processing and provider satisfaction.
In this position, you will act as a bridge between incoming inquiries and the specialized teams responsible for resolution. Your day-to-day involves reviewing processed claims to identify valid disputes, creating and assigning cases within EPIC, and coordinating the flow of information across departments. You will also provide essential administrative support, maintaining compliance with regulatory requirements and internal policies while managing electronic and physical filing systems.
Work Environment & Culture
This is an onsite position located in a professional, low-noise office environment. While the role is primarily performed at a desk, there is an opportunity to transition to a hybrid schedule (3 days onsite, 2 days remote) following the initial training period. You will join a collaborative team dedicated to accurate claims handling, offering a supportive environment to build expertise in healthcare operations and dispute management.
Hiring Process
Candidates selected for this role will undergo a training period before potentially transitioning to a hybrid work model. The team values strong organizational skills and the ability to handle sensitive information with precision.
Work location
Work model: Hybrid
Hybrid
Key Responsibilities
- check_circleReview processed claims to identify valid provider disputes
- check_circleCreate and assign dispute cases within EPIC to Provider Dispute Specialists
- check_circleCoordinate intake, tracking, prioritization, and distribution of incoming disputes and appeals
- check_circleMaintain accurate records of case flow and ensure timely routing to appropriate teams
- check_circlePrepare materials for appeal reviews including case documentation and binders
- check_circleEnsure all documentation complies with privacy regulations and internal policies
- check_circleForward medical appeals and correspondence to appropriate departments in a timely manner
- check_circleSupport internal coordination by following up with staff to ensure timely claims resolution
- check_circleMaintain electronic and physical filing systems and update dispute tracking databases
- check_circleGenerate reports for internal meetings and ad hoc requests
- check_circleNavigate systems such as Facets and Jiva to review claims and authorizations
Requirements
- verifiedHigh School Diploma or equivalent
- verifiedMinimum of 2 years of experience in a medical or insurance office setting
- verifiedExperience with claims processing or provider/member services
- verifiedProficiency in Microsoft Office (Word, Excel, PowerPoint)
Nice to Have
Familiarity with healthcare systems such as Facets and EPIC.
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Skills, education and keywords
Skills: Epic, Facets, Jiva, Microsoft Office, Word, Excel, Powerpoint, Claims Processing, Provider/member Services, Healthcare Systems.
Education: High School Diploma or equivalent required.
Frequently asked questions about Provider Dispute Intake Coordinator at Strategic Staffing Solutions
What does a Provider Dispute Intake Coordinator at Strategic Staffing Solutions do?expand_more
Day-to-day, the Provider Dispute Intake Coordinator at Strategic Staffing Solutions will review processed claims to identify valid provider disputes; create and assign dispute cases within epic to provider dispute specialists; coordinate intake, tracking, prioritization, and distribution of incoming disputes and appeals; and maintain accurate records of case flow and ensure timely routing to appropriate teams.
What are the requirements for this Provider Dispute Intake Coordinator role?expand_more
To qualify for the Provider Dispute Intake Coordinator at Strategic Staffing Solutions position, applicants should have: High School Diploma or equivalent; Minimum of 2 years of experience in a medical or insurance office setting; Experience with claims processing or provider/member services; and Proficiency in Microsoft Office (Word, Excel, PowerPoint).
Where is the Provider Dispute Intake Coordinator role at Strategic Staffing Solutions located?expand_more
Provider Dispute Intake Coordinator at Strategic Staffing Solutions is based in Hybrid. This is a hybrid role.
Is this Provider Dispute Intake Coordinator job remote, hybrid, or on-site?expand_more
Strategic Staffing Solutions has listed this Provider Dispute Intake Coordinator role as hybrid.
How much experience is required for this Provider Dispute Intake Coordinator role?expand_more
Provider Dispute Intake Coordinator at Strategic Staffing Solutions typically requires 2+ years of relevant experience at the mid level level.
What skills do you need for the Provider Dispute Intake Coordinator role at Strategic Staffing Solutions?expand_more
Key skills for Provider Dispute Intake Coordinator at Strategic Staffing Solutions include Epic; Facets; Jiva; Microsoft Office; Word; Excel; Powerpoint; and Claims Processing.
What education is required for Provider Dispute Intake Coordinator at Strategic Staffing Solutions?expand_more
Educational requirements for this role: High School Diploma or equivalent required.
What category does the Provider Dispute Intake Coordinator role belong to?expand_more
Provider Dispute Intake Coordinator at Strategic Staffing Solutions is part of the admin job category on Recrutus.