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

Benefits include but are not limited to:

Medical/Vision/Dental/ Life Insurance

Paid time off

Holidays time off

401(k)

Professional development and tuition reimbursement Policy Disclaimer:

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