Medical Biller & Coder

Pay Range: $25/hr - $27/hr

Duration: 6 Months Contract

Job Description: Our Grievance & Appeals Specialist I act as the primary investigator for member appeals and grievances including analyzing, researching, and managing inventories. Responding to member/provider requests within regulatory requirements and plan policy. We're looking for Grievance & Appeals Specialist I with:

Required Experience: 3 years’ health industry or related experience What a day of a Grievance & Appeals Specialist I would look like: Ensure cases are accurately classified and categorized. Prepare comprehensive case histories for presentation and consideration at committee meetings and audits. Determines if additional information or documentation is needed to make appropriate decisions. Interpret and apply business rules, policies and contract. Prepare appeal cases to send to an independent specialty reviewer. Present appeal case information to a multi-department committee. Additional skills that we are looking for: Good verbal and written communication skills Medical terminology Familiar with ICD10 and CPT coding Experience with Individual and Group Contract language Customer Service or Claims processing experience preferred Dexian stands at the forefront of Talent + Technology solutions with a presence spanning more than 70 locations worldwide and a team exceeding 10,000 professionals. As one of the largest technology and professional staffing companies and one of the largest minority-owned staffing companies in the United States, Dexian combines over 30 years of industry expertise with cutting-edge technologies to deliver comprehensive global services and support. Dexian connects the right talent and the right technology with the right organizations to deliver trajectory-changing results that help everyone achieve their ambitions and goals. To learn more, please visit https://dexian.com/.