Job Title: Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert) Location: 100% Remote
Pay Rate: $29/hour on W-2 (Contract-to-Hire)
Schedule: M-F, 8-hour shifts (Core hours: 9am-3pm ET)
Akkodis is hiring a Dispute Resolution Reviewer for a fully remote contract-to-hire opportunity with a leading healthcare compliance organization. This role is ideal for professionals with medical coding, medical billing, and insurance claims experience at a health plan (e.g., Humana, BCBS, United Healthcare).
If you're detail-oriented, tech-savvy, and enjoy problem-solving in a structured yet fast-paced environment, this role offers a great opportunity to apply your coding and payer-side experience in a meaningful way.
Job Responsibilities:
- Review Explanation of Benefits (EOBs) and appeals from providers and health plans under the No Surprises Act.
- Resolve disputes related to out-of-network provider charges by following detailed internal policies.
- Research service codes, fees, and coverage policies using digital tools and online databases.
- Use your knowledge of remark codes, CPT codes, and medical service codes to make impartial and binding recommendations.
- Handle 24+ insurance dispute cases per day, documenting decisions accurately in the CMS IDR Portal.
Desired Qualifications :
- 1+ year of experience in medical coding or billing (required).
- Experience handling insurance claims from the payer side (e.g., Humana, BCBS, Aetna).
- Ability to read and interpret EOBs, remark codes, and medical claim language.
- Familiar with dispute resolution, appeals processes, and healthcare regulations.
- Medicaid experience is a plus.
- Comfortable using tools like Microsoft Excel, Word, and the CMS IDR Portal.
- Associate's degree preferred but not required if you have 3+ years of total medical billing/coding experience.
Ideal Candidate Background :
- Has worked as a medical claims analyst, coding specialist, insurance appeals coordinator, or similar.
- Comes from a health plan or third-party administrator (TPA).
- Understands the logic behind coverage decisions and coding disputes-not just how to code, but why codes matter.
If you're a medical billing specialist or insurance coding professional ready to leverage your knowledge in a high-impact, remote role, click APPLY NOW.
Please contact Pratiksha Pandey at or
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