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Remote Disability Claims Trainee Jobs in Washington

J29 Inc.

Dispute Resolution Analyst I

Millersville, MD · On-site +1

$16.25 - $18.25/hr

Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ... Remote Salary: $16.25-18.25 per hour J29, Inc. is committed to hiring and retaining a diverse ...

Linesight

Commercial Manager

Washington, DC · On-site +1

$125K - $175K/yr

Support the settlement of construction disputes/loss and expense claims with transparency * Support ... Local candidates will have a hybrid structure and non-local will be remote but need to be ...

Manulife

Senior Underwriting Consultant

Washington, DC · Remote

$111K - $131K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Review contestable claims for potential misrepresentation during underwriting. * Maintain good ...

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Remote Disability Claims Trainee information

What is the difference between Remote Disability Claims Trainee vs Remote Disability Claims Specialist?

AspectRemote Disability Claims TraineeRemote Disability Claims Specialist
CredentialsEntry-level, often requires high school diploma or equivalent; some roles may prefer related courseworkTypically requires relevant certifications or experience in claims processing or insurance
Work EnvironmentTraining programs, supervised tasks, learning-focusedIndependent claims processing, decision-making, client interaction
Job ResponsibilitiesAssisting with claims, learning procedures, data entryEvaluating claims, making determinations, communicating with claimants

The Remote Disability Claims Trainee is an entry-level role focused on learning and assisting in claims processing, often under supervision. In contrast, the Remote Disability Claims Specialist handles more independent decision-making and claims evaluation, requiring relevant experience or certifications. The trainee position is ideal for those starting in the industry, while the specialist role is suited for experienced professionals.

What are popular job titles related to Remote Disability Claims Trainee jobs in Washington? For Remote Disability Claims Trainee jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Disability Claims Trainee jobs in Washington look for? The top searched job categories for Remote Disability Claims Trainee jobs in Washington are:
What cities in Washington are hiring for Remote Disability Claims Trainee jobs? Cities in Washington with the most Remote Disability Claims Trainee job openings:
Remote Disability Claims Trainee jobs near you

Dispute Resolution Analyst I

J29 Inc.

Millersville, MD • On-site, Remote

$16.25 - $18.25/hr

Full-time

Re-posted 3 days ago

Job description

Position: Dispute Resolution Analyst
Overview:
J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as a healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to non-profit groups with critical missions as J29 continues to grow.
Position:
As a Dispute Resolution Analyst (DRA) you'll support the Independent Dispute Resolution (IDR) programs that handle routine 'Surprise Billing' appeals work. This role will serve as a support person for the reconsideration/dispute resolution professionals and physician reviewers for second level reconsiderations/dispute resolutions. Additionally, the DRA position will work under close supervision, with minimal latitude for the use of initiative and independent judgement
Role & Responsibilities:
  • Coordinates the delivery of re-determination files/dispute resolution documents and reconsideration/dispute resolution decisions from and to the external entities.
  • Builds a reconsideration/dispute resolution case file from evidence submitted and received and analyzes each case to ensure it meets the requirements for a valid reconsideration/dispute resolution request as mandated by Centers for Medicare and Medicaid Services (CMS) or other customer entities.
  • Analyzes and makes decisions based on medical vs. non-medical case type, appeal/review categories, validity of appeal/dispute resolution request, and dispute resolution settlement documentation.
  • Inputs appropriate data regarding reconsiderations/dispute resolution cases into the applicable required systems.
  • Responds to reconsideration/dispute review requests from appellants/patients/providers.
  • Routes or responds to telephonic and/or written inquiries from appellants/patients about reconsiderations/dispute resolution or about the reconsiderations/dispute resolutions process from appellants/patient or their legally-designated representatives.
  • Identifies any suspected instances of fraud and/or abuse and immediately inform management of such issues.
  • Stays abreast of changes in regulations and practices, policies and procedures
  • May submit requests for re-determination files and completed reconsideration and Administrative Law Judge (ALJ) decisions to relevant entities.
  • Participates in special projects and performs other duties as assigned.

Experience / Expertise:
  • One (1) years of experience with Provider disputes or claims
  • One (1) years of interaction with claims with larger insurance plans
  • One (1) year of general office or administrative experience
  • Experience directly relevant to the specific task order or project, preferred

Education:
• High School Diploma or equivalent
Location: Remote
Salary: $16.25-18.25 per hour
J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal
Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex,
sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other
protected class. J29, Inc. is a proud Veteran friendly employer.
J29 logo

About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017

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