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Provider Dispute Resolution Supervisor Jobs (NOW HIRING)

IL ยท On-site

$34.60 - $39.40/hr

This role serves as a subject matter expert for provider dispute resolution policies, CMS requirements, reimbursement methodologies, and provider contract interpretation. The position independently ...

Senior Provider Claims Dispute Specialist

IL ยท Remote

$34.60 - $39.40/hr

This role serves as a subject matter expert for provider dispute resolution policies, CMS requirements, reimbursement methodologies, and provider contract interpretation. The position independently ...

Background in medical billing, claims processing, or payer-provider dispute resolution. Core Competencies * Exceptional attention to detail and organizational discipline. * Ability to manage ...

Provider Dispute Coder

$19.25 - $25.50/hr

Have you worked on provider dispute resolution under a Medicare Advantage or TriCare line of business? * Have you worked with PPM (Payment Policy Management) edits -- the coding and billing side of ...

... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Providing strategic planning to identify, develop, and secure new business opportunities and ...

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Provider Dispute Resolution Supervisor information

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$34K

$70.3K

$114.5K

How much do provider dispute resolution supervisor jobs pay per year?

As of Sep 10, 2026, the average yearly pay for provider dispute resolution supervisor 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.

What cities are hiring for Provider Dispute Resolution Supervisor jobs?

Cities with the most Provider Dispute Resolution Supervisor job openings:

What states have the most Provider Dispute Resolution Supervisor jobs?

States with the most job openings for Provider Dispute Resolution Supervisor jobs include:

What are popular job titles related to Provider Dispute Resolution Supervisor jobs?

For Provider Dispute Resolution Supervisor jobs, the most frequently searched job titles are:

Infographic showing various Provider Dispute Resolution Supervisor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $70,345 per year, or $33.8 per hour.

Provider Dispute Resolution Specialist

San Bernardino, CA โ€ข On-site

$33.50 - $39.50/hr

Full-time

Re-posted 13 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.

Experienceย 

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