Process Consultant
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