Title: Process Consultant
Location: Remote
Job Duration: 6+ Months (possibility of extension)
Shift: 2 weeks formal training-Mon – Fri between 7am and 4:30pm CST
Schedule post training- Mon – Friday. 8 hour shift between 6 am – 6pm CST
Payrate: $19/h on w2
BASIC FUNCTION:
• Manage the intake, review, and processing of all materials and information related to negotiations and independent dispute cases in compliance with federal and state regulations.
• Coordinate dispute resolution activities across all health plans, lines of business, and products while ensuring adherence to client policies and procedures.
• Accurately enter, track, and maintain new requests and case information within the appropriate database systems.
• Prepare and issue required notifications, correspondence, and provider communications in a timely and accurate manner.
• Collaborate with internal teams and external providers to resolve disputes efficiently while maintaining high standards of accuracy, compliance, and customer service.
Remote
Skills:
Consulting, Customer Support/Service, Database Technology, Federal Laws and Regulations, Health Plan, Maintain Compliance, Negotiation Skills, State Laws and Regulations, Time Management
About the Company:
Careers Integrated Resources Inc