Dispute Resolution Reviewer (Medical Coding & Insurance Claims Expert) Job at Akkodis, Cleveland, OH

TjJRNFpqcktzNkR6eEdTTXBnb1BQQjQ9
  • Akkodis
  • Cleveland, OH

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, 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 610-979-9170 or pratiksha.pandey@akkodisgroup.com

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to

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

Job Tags

Contract work, Local area, Remote job, Shift work,

Similar Jobs

Bank of San Francisco

Senior Personal Banker ( {{city}}) Job at Bank of San Francisco

 ...Are you looking for an opportunity to support a leading community and private bank serving Bay Area businesses, nonprofits and individuals? Bank of San Francisco is seeking a Senior Personal Banker to become a critical part of our team. Please contact us today to discuss... 

Hampton City Schools

Substitute School Security Officer (24-25 School Year) Job at Hampton City Schools

Position Type:Substitute and Temporary/ Substitute Security OfficerDate Posted:8/26/2024Location:Secondary SchoolsClosing Date:Open until filledPOSITION INFORMATION:Location: Secondary Schools Supervisor: Mr. James Bailey, Security Supervisor Employment Period... 

City of Pearland, TX

Performance Management Analyst Job at City of Pearland, TX

 ...of Pearland, TX is seeking a dynamic and detail-oriented Performance Management Analyst to help enhance the efficiency and effectiveness of daily...  ...all the city has to offer, including professional sports, world-class cultural amenities, and recreation. Employees... 

Essentia Health

PHYSICIAN - Allergy, Brainerd, MN (.75 FTE)) Job at Essentia Health

 ...No current outreach, although future opportunities are being considered. REQUIREMENTS ~ BC/BE in Allergy & Immunology LOCATION Brainerd/Baxter, MN Area offers fishing, boating, camping, canoeing, skiing, hiking, mountain biking... 

Ryder System

Truck Driver CDL A Home Daily Job at Ryder System

 ...Immediately Hiring a Dedicated SOLO Class A CDL Driver in Lafayette, IN.We want the right...  ...SOLOTo:300 Mile Radius Route: Local Home Daily Tractor Type: Day Cab TrailerType...  ...Strong Backing Skills Required Trucks are 36 months or newer, include 24/7 Roadside...