Provider Dispute Intake Coordinator

Provider Dispute Intake Coordinator

Duration: 6-Month Contract
Pay Rate: $20/hour
Work Schedule: Onsite during training, with the opportunity to transition to a hybrid schedule of 3 days onsite and 2 days remote

Position Summary

The Provider Dispute Intake Coordinator supports the Provider Disputes team by managing the intake, tracking, documentation, and distribution of provider disputes, appeals, and related correspondence. This role is responsible for ensuring cases are accurately recorded, prioritized, and routed to the appropriate team members for timely review and resolution.

The ideal candidate will have experience in a healthcare or health insurance environment, with a background in claims processing and/or provider or member services. This position requires strong attention to detail, organization, and the ability to manage multiple priorities in a fast-paced environment.

Key Responsibilities

• Review processed healthcare claims to identify and validate provider disputes.

• Create, document, and assign dispute cases to Provider Dispute Specialists.

• Manage the intake, tracking, prioritization, and distribution of provider disputes, appeals, and correspondence.

• Navigate healthcare systems, including Facets, EPIC, and Jiva, to review claims, authorizations, and related case information.

• Maintain accurate records of dispute activity and ensure cases are routed to the appropriate teams in a timely manner.

• Forward medical appeals, FEP appeals, and other correspondence to the appropriate departments.

• Follow up with internal teams and staff to support timely claims processing and dispute resolution.

• Prepare documentation and materials for appeal reviews.

• Maintain electronic and physical filing systems and update dispute tracking databases.

• Generate reports for internal meetings and ad hoc requests.

• Assist department leadership with administrative support, reporting, and file maintenance.

• Ensure sensitive healthcare and member information is handled in accordance with privacy requirements and internal policies.

• Perform additional administrative and departmental duties as assigned.

Required Qualifications

• High School Diploma or equivalent.

• Minimum of 2 years of experience in a medical, healthcare, or health insurance office environment.

• Experience with healthcare claims processing and/or provider or member services.

• Strong organizational and time-management skills.

• Excellent attention to detail and accuracy in data entry and documentation.

• Ability to prioritize and manage multiple assignments in a fast-paced environment.

• Strong written and verbal communication skills.

• Proficiency with Microsoft Office, including Word, Excel, and PowerPoint.

• Ability to handle confidential and sensitive information appropriately.

Preferred Qualifications

• Experience working with Facets in a healthcare claims or insurance environment.

• Experience with EPIC and/or Jiva.

• Previous experience with provider disputes, appeals, grievances, denials, or claims resolution.

• Experience working directly with healthcare providers or provider offices.

• Previous experience within a health plan, managed care organization, or healthcare payer environment.