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Process Consultant

Work from home Full-time role Hiring

Title: Process Consultant Location: Remote Job Duration: 6+ Months (possibility of extension) Shift: 2 weeks formal training-Mon – Fri between 7am and 4:30pm CST Schedule post training- Mon – Friday. 8 hour shift between 6 am – 6pm CST Payrate: $19/h on w2 BASIC FUNCTION:

  • Manage the intake, review, and processing of all materials and information related to negotiations and independent dispute cases in compliance with federal and state regulations.
  • Coordinate dispute resolution activities across all health plans, lines of business, and products while ensuring adherence to client policies and procedures.
  • Accurately enter, track, and maintain new requests and case information within the appropriate database systems.
  • Prepare and issue required notifications, correspondence, and provider communications in a timely and accurate manner.
  • Collaborate with internal teams and external providers to resolve disputes efficiently while maintaining high standards of accuracy, compliance, and customer service.

Remote Skills: Consulting, Customer Support/Service, Database Technology, Federal Laws and Regulations, Health Plan, Maintain Compliance, Negotiation Skills, State Laws and Regulations, Time Management About the Company: Careers Integrated Resources Inc Apply tot his job Apply To this Job

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