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Dispute Resolution Analyst

TMF Health Quality Institute -
Remote

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Job Details

Full-time

Benefits

License reimbursement
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Vision insurance
Life insurance

Qualifications

High school diploma or GED

Full Job Description

Category: Administrative Support

Requisition Number: DRAI0001376

Posting Details

- Posted: June 10, 2026
Full-Time
Remote
Locations

Remote, Anywhere USA

Job Details

Description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**

*This position is located Remote United States*

Position Purpose:

Serves as a support person for the reconsideration/dispute resolution professionals and physician reviewers for second level reconsiderations/dispute resolutions.

Essential Responsibilities:

Coordinates the delivery of re-determination files/dispute resolution documents and reconsideration/dispute resolution decisions from and to the external entities.
Builds a reconsideration/dispute resolution case file from evidence submitted and received and analyzes each case to ensure it meets the requirements for a valid reconsideration/dispute resolution request as mandated by Centers for Medicare and Medicaid Services (CMS) or other customer entities.
Analyzes and makes decisions based on medical vs. non-medical case type, appeal/review categories, validity of appeal/dispute resolution request, and dispute resolution settlement documentation.
Inputs appropriate data regarding reconsiderations/dispute resolution cases into the applicable required systems.
Responds to reconsideration/dispute review requests from appellants/patients/providers.

Minimum Qualifications

Education

High School Diploma or equivalent

Experience

One (1) year of general office experience
- College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
Healthcare experience, preferred

Benefits

C2C offers an excellent benefits package, including:

Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
Section 125 plan
401K
Competitive salary
License/credentials reimbursement
Tuition Reimbursement

EOE Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply Now

Refine Your Search

Benefit File Analyst jobs

Dispute Resolution Analyst

Contract & Reimbursement Analyst II

Payment Policy Analyst (Remote)

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Data Operations Analyst

Data Entry Analyst

Medical Billing Operations Analyst

Payer Contract Analyst - CarepathRx - Remote

File Intake Analyst

Policy Forms Analyst II

Bswift System Analyst - Remote (EST)

Treasury Analyst

Business Analyst I

Client Delivery Analyst III (Credit Conversions) - Remote

Senior Total Rewards Analyst

ALJ Analyst

Data Analyst

Credential Analyst

AML Investigator

Compliance Analyst II - Employee Benefits Division

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