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Healthcare Dispute Resolution Specialist

Company: VirtualVocations
Location: Brooklyn
Posted on: February 1, 2025

Job Description:

A company is looking for a DRR III (Healthcare Professional).



Key Responsibilities

Reviews medical records and writes clear, concise dispute resolution decisions
Makes independent decisions based on medical evidence and relevant regulations
Addresses all appeal/dispute issues raised by patients, representatives, and providers


Required Qualifications

Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline
Three years of experience in medical dispute resolution or related healthcare settings
Experience in nursing, physical therapy, respiratory therapy, or occupational therapy
Preferred experience in patient-provider dispute resolution and independent dispute resolution
Preferred coding certificate

Keywords: VirtualVocations, East Orange , Healthcare Dispute Resolution Specialist, Healthcare , Brooklyn, New Jersey

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