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)

NOT OPEN to C2C

Must be able to pass US Security Clearance Check

Key Skill

Experience reading and interpreting EOBs, remark codes, and medical claim language.

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

Benefit offerings include medical, dental, vision, term life insurance, short-term disability insurance, additional voluntary benefits, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State or local law; and Holiday pay upon meeting eligibility criteria. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs which are direct hire to a client

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The Company will consider qualified applicants with arrest and conviction records.

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