Job Description

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, UnitedHealthcare).

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.

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

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