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Dispute Resolution Job Jobs (NOW HIRING)

This role focuses heavily on the Independent Dispute Resolution (IDR) process under the No Surprises Act and state dispute resolution processes, while maintaining flexibility to handle additional ...

This role focuses heavily on the Independent Dispute Resolution (IDR) process under the No Surprises Act and state dispute resolution processes, while maintaining flexibility to handle additional ...

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Dispute Resolution Job information

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$34K

$70.3K

$114.5K

How much do dispute resolution job jobs pay per year?

As of Aug 14, 2026, the average yearly pay for dispute resolution job in the United States is $70,345.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $86,500.00 per year, depending on experience, location, and employer.
Infographic showing various Dispute Resolution Job job openings in the United States as of July 2026, with employment types broken down into 56% Locum Tenens, 40% Full Time, 3% Part Time, and 1% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $70,345 per year, or $33.8 per hour.

Provider Dispute Resolution Specialist

LSMA Management Inc

San Bernardino, CA • On-site

$33.50 - $39.50/hr

Full-time

Re-posted 16 days ago


Job description

Description:

JOB SUMMARY

The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures compliance with applicable California state and federal regulations, contractual obligations, and internal policies while supporting positive provider relations.

Requirements:

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High school diploma or equivalent.

Preferred: Coursework or training in healthcare administration, medical billing, or related field.

Experience

Minimum: 5+ years of experience processing managed care health claims.

Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO environments.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.


Skills, Knowledge & Abilities

· Strong working knowledge of managed care claims operations and regulatory requirements, including dispute and appeal timeliness standards.

· Proficiency with medical coding concepts (ICD-10, CPT, HCPCS, DRG, ASC).

· Experience with UB-04 and CMS-1500 claim forms.

· Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.

· Strong written and verbal communication skills in English.

· Effective time management skills with the ability to manage competing priorities and workload volumes.

· Intermediate proficiency with Microsoft Office applications, including Word and Excel.

· Demonstrated problem-solving skills and attention to detail.


PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This position primarily involves sedentary work with routine use of a computer and standard office equipment. The role may require occasional light physical activity (up to 10 pounds) and brief periods of bending, reaching, or filing. The employee must be able to maintain concentration for extended periods, analyze detailed information, and meet regulatory deadlines, with or without reasonable accommodation.


PAY RANGE

$33.50 - $39.50 / hourly