Provider Dispute Coordinator

Job Title: Provider Dispute Intake Coordinator

Duration- 6 Months

Onsite position - with an opportunity for Hybrid (3days onsite - 2 days remote) after training period

Pay- $20/hr

Position Summary

The Provider Dispute Intake Coordinator plays a key role in supporting the Provider Disputes team by managing the intake, tracking, and distribution of provider disputes, appeals, and related correspondence. This position ensures that all incoming cases are accurately recorded, prioritized, and assigned for timely review and resolution.

This role also provides administrative and clerical support to the department, helping maintain compliance with regulatory requirements and internal policies while supporting efficient claims processing and communication across teams.

Key Responsibilities

• Review processed claims to identify valid provider disputes
• Create and assign dispute cases within EPIC to Provider Dispute Specialists
• Coordinate intake, tracking, prioritization, and distribution of incoming disputes, appeals, and correspondence
• Maintain accurate records of case flow and ensure timely routing to appropriate teams or individuals
• Assist leadership with administrative tasks, reporting, and file maintenance
• Prepare materials for appeal reviews, including case documentation, binders, and communications
• Ensure all documentation complies with privacy regulations and internal policies
• Forward medical appeals, FEP appeals, and correspondence to appropriate departments in a timely manner
• Support internal coordination by following up with staff and departments to ensure timely claims processing and resolution
• Maintain electronic and physical filing systems and update dispute tracking databases
• Generate reports for internal meetings and ad hoc requests
• Monitor and maintain office supply inventory and related documentation
• Navigate systems such as Facets and Jiva to review claims and authorizations
• Perform other administrative and departmental duties as assigned

Qualifications

Education

• High School Diploma or equivalent required

Experience

• Minimum of 2 years of experience in a medical or insurance office setting
• Experience with claims processing or provider/member services required
• Familiarity with healthcare systems such as Facets and EPIC preferred

Skills & Competencies

• Strong organizational and time management skills
• Ability to prioritize and manage multiple tasks in a fast-paced environment
• Attention to detail and accuracy in data entry and documentation
• Proficiency in Microsoft Office (Word, Excel, PowerPoint)
• Strong communication and coordination skills
• Ability to handle sensitive information in compliance with privacy regulations

Work Environment

• Office-based role in a professional, low-noise environment
• Work is primarily performed while sitting or standing at a desk
• Requires the ability to analyze, document, and manage detailed information

Reporting Structure

• Reports to: Supervisor, Provider Disputes
• This position does not have direct reports

Why Join Us

You’ll be part of a collaborative team that plays a critical role in ensuring accurate claims handling and provider satisfaction. This position offers an opportunity to build expertise in healthcare operations, claims processing, and dispute management within a supportive environment.