Analyze claim disputes, reimbursement discrepancies, and payer responses. * Escalate high-priority ... Knowledge of CMS guidelines and payer dispute resolution processes. What We Offer * Opportunity to ...
Analyze claim disputes, reimbursement discrepancies, and payer responses. * Escalate high-priority ... Knowledge of CMS guidelines and payer dispute resolution processes. What We Offer * Opportunity to ...
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
PROVIDER DISPUTE RESOLUTION SPECIALIST
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
PROVIDER DISPUTE RESOLUTION SPECIALIST
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Independent Dispute Resolution (IDR) Claims/OON Specialist
Dallas, TX · On-site
$65 - $80/hr
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... Physical Demands Requires visual acuity to inspect and analyze work close to the eyes and ability ...
Independent Dispute Resolution (IDR) Claims/OON Specialist
Dallas, TX · On-site
$65 - $80/hr
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... Physical Demands Requires visual acuity to inspect and analyze work close to the eyes and ability ...
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Strong analytical and reporting skills, including trend identification and data interpretation.
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... PHYSICAL DEMANDS • Requires visual acuity to inspect and analyze work close to the eyes and ...
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... PHYSICAL DEMANDS • Requires visual acuity to inspect and analyze work close to the eyes and ...
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... PHYSICAL DEMANDS · Requires visual acuity to inspect and analyze work close to the eyes and ...
Quick apply
The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing ... PHYSICAL DEMANDS · Requires visual acuity to inspect and analyze work close to the eyes and ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Resolution Analyst
Alpharetta, GA · On-site
The Resolution Analyst is responsible for assisting our client's customers with benefit, cancellation, and enrollment related issues. There are production and quality expectations based on client ...
Resolution Analyst
Alpharetta, GA · On-site
The Resolution Analyst is responsible for assisting our client's customers with benefit, cancellation, and enrollment related issues. There are production and quality expectations based on client ...
Resolution Analyst
Alpharetta, GA · Hybrid
The Resolution Analyst is responsible for assisting our client's customers with benefit, cancellation, and enrollment related issues. There are production and quality expectations based on client ...
Resolution Analyst
Alpharetta, GA · Hybrid
The Resolution Analyst is responsible for assisting our client's customers with benefit, cancellation, and enrollment related issues. There are production and quality expectations based on client ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Enlist support for resolution of disputes * Partner with Logistics to resolve shortage deductions ...
Resolution Analyst
Pawtucket, RI · On-site
$60 - $80/hr
The Resolution Analyst plays a critical role in protecting revenue, improving customer experience, and ensuring transactional accuracy across the business. This position investigates and resolves ...
Resolution Analyst
Pawtucket, RI · On-site
$60 - $80/hr
The Resolution Analyst plays a critical role in protecting revenue, improving customer experience, and ensuring transactional accuracy across the business. This position investigates and resolves ...
Resolution Analyst
Pawtucket, RI · On-site
The Resolution Analyst plays a critical role in protecting revenue, improving customer experience, and ensuring transactional accuracy across the business. This position investigates and resolves ...
Resolution Analyst
Pawtucket, RI · On-site
The Resolution Analyst plays a critical role in protecting revenue, improving customer experience, and ensuring transactional accuracy across the business. This position investigates and resolves ...
Principal - Dispute Resolution
Alexandria, VA · On-site
$230 - $320/hr
About the Opportunity Principal - Dispute Resolution for our Construction Consulting Practice in ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
Principal - Dispute Resolution
Alexandria, VA · On-site
$230 - $320/hr
About the Opportunity Principal - Dispute Resolution for our Construction Consulting Practice in ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2
Baton Rouge, LA · On-site
$2.7K - $4.6K/mo
The ability to analyze information objectively, identify connections across sources, and form ... Workers' Compensation Dispute Resolution Specialist 1 or Workers' Compensation Dispute Resolution ...
WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2
Baton Rouge, LA · On-site
$2.7K - $4.6K/mo
The ability to analyze information objectively, identify connections across sources, and form ... Workers' Compensation Dispute Resolution Specialist 1 or Workers' Compensation Dispute Resolution ...
DR (Dispute Resolution) Collections Specialist Location: Columbus, OH Segment: Finance Position ... and analyzing information. Preferred Skills: Experience managing a portfolio of business-to ...
DR (Dispute Resolution) Collections Specialist Location: Columbus, OH Segment: Finance Position ... and analyzing information. Preferred Skills: Experience managing a portfolio of business-to ...
DR (Dispute Resolution) Collections Specialist Location: Columbus, OH Segment: Finance Position ... and analyzing information. Preferred Skills: * Experience managing a portfolio of business-to ...
DR (Dispute Resolution) Collections Specialist Location: Columbus, OH Segment: Finance Position ... and analyzing information. Preferred Skills: * Experience managing a portfolio of business-to ...
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Solid analytical and problem-solving skills * Ability to identify discrepancies and inconsistencies
Collection & Dispute Analyst
Plano, TX · On-site
Dispute resolutions, contract review, focus on customer satisfaction through process improvements ... Solid analytical and problem-solving skills * Ability to identify discrepancies and inconsistencies
Dispute Resolution Analyst information
See salary details
$16.59 - $19.27
4% of jobs
$19.27 - $21.96
12% of jobs
$22.50 is the 25th percentile. Wages below this are outliers.
$21.96 - $24.65
46% of jobs
$24.65 - $27.34
2% of jobs
$29.84 is the 75th percentile. Wages above this are outliers.
$27.34 - $30.03
12% of jobs
$30.03 - $32.71
0% of jobs
$32.71 - $35.40
11% of jobs
$35.40 - $38.09
6% of jobs
$38.09 - $40.78
3% of jobs
$40.78 - $43.47
2% of jobs
$43.47 - $46.15
2% of jobs
$16
$27
$46
How much do dispute resolution analyst jobs pay per hour?
What does a dispute resolution analyst do?
A Dispute Resolution Analyst is responsible for investigating, evaluating, and resolving disputes between parties, often in the financial, legal, or customer service sectors. They analyze claims, review evidence, and communicate with involved parties to reach fair resolutions. Their role may also involve compliance checks, reporting, and recommending process improvements to prevent future disputes. Strong analytical, communication, and problem-solving skills are essential for success in this role.
What are the key skills and qualifications needed to thrive as a dispute resolution analyst?
To thrive as a Dispute Resolution Analyst, you need strong analytical abilities, attention to detail, and a background in conflict resolution or a related field such as law or business. Familiarity with case management systems, data analysis tools, and potentially relevant certifications like ADR (Alternative Dispute Resolution) accreditation can be beneficial. Excellent communication, negotiation, and interpersonal skills help you stand out, as they are critical in facilitating discussions and resolving conflicts effectively. These skills and qualifications are essential for accurately analyzing disputes, developing fair resolutions, and ensuring client satisfaction in varied business settings.
What does a typical day look like for a dispute resolution analyst?
A typical day for a Dispute Resolution Analyst involves reviewing case files, analyzing documents and data related to disputes, and communicating with involved parties to gather additional information. You may facilitate meetings or mediations, prepare reports detailing proposed resolutions, and collaborate closely with legal, compliance, or customer service teams. The role often requires balancing multiple cases, prioritizing urgent matters, and documenting outcomes for future reference. Working in this environment helps analysts develop strong problem-solving skills and provides opportunities to handle diverse and complex scenarios.
What is a dispute resolution analyst?
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Full-time
Re-posted 5 days ago
Key responsibilities
Access and manage the IDR portal in compliance with regulatory and payer guidelines.
Review, monitor, and track IDR cases, disputes, and documentation requirements.
Coordinate with AR follow-up, denial management, billing, and compliance teams regarding disputed claims.
Job description
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.
Position Overview
Plutus Health is seeking detail-oriented professionals to manage and support activities related to the new IDR portal and payer dispute workflows. The ideal candidate will be responsible for accessing, reviewing, tracking, and coordinating IDR-related cases while ensuring compliance with updated portal usage guidelines and payer requirements .If you have experience in Medical Billing or Accounts Receivable (AR) but are new to the IDR process, Plutus Health will provide comprehensive training on the IDR portal, payer dispute workflows, and related compliance requirements.
Key Responsibilities
- Access and manage the new IDR portal in compliance with updated regulatory and payer usage guidelines.
- Review, monitor, and track IDR cases, disputes, and documentation requirements.
- Coordinate with AR follow-up, denial management, billing, and compliance teams regarding disputed claims.
- Ensure timely submission of supporting documentation and payer communications.
- Maintain accurate logs, reports, trackers, and case status updates.
- Analyze claim disputes, reimbursement discrepancies, and payer responses.
- Escalate high-priority or compliance-related issues to leadership teams.
- Work closely with offshore and onshore operational teams for workflow coordination.
- Support process improvement initiatives for IDR and denial management operations.
- Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations.
- Assist leadership with operational reporting, metrics, and audit readiness activities.
- Good understanding of all the nuances of Out-of-Network Billing "
Required Qualifications
- 1-2 years of experience in Healthcare Revenue Cycle Management (RCM), AR follow-up, denial management, or claims operations.
- Strong understanding of medical billing, payer workflows, and healthcare reimbursement processes.
- Experience working with payer portals, claim dispute workflows, or IDR processes preferred.
- Familiarity with commercial insurance payers, appeals, denials, and escalation management.
- Strong analytical, organizational, and documentation skills.
- Proficiency in Excel, reporting trackers, and operational dashboards.
- Excellent verbal and written communication skills.
- Ability to work independently in a fast-paced operational environment.
Preferred Qualifications
- Experience handling IDR, arbitration, appeals, or out-of-network reimbursement workflows.
- Exposure to healthcare compliance, audits, and payer regulations.
- Experience working with offshore operational teams.
- Knowledge of CMS guidelines and payer dispute resolution processes.
What We Offer
- Opportunity to work with a rapidly growing healthcare RCM organization.
- Exposure to evolving healthcare operational and compliance workflows.
- Collaborative and growth-focused work culture.
- Career advancement opportunities within AR, denial management, and operational leadership teams.
About Plutus Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Dallas, TX, US
Year founded
2008