Senior Dispute & Payment Review Strategist
Job in
Dallas, Dallas County, Texas, 75215, USA
Listed on 2026-08-03
Listing for:
Remote Jobs
Full Time
position Listed on 2026-08-03
Job specializations:
-
Government
Job Description & How to Apply Below
PRI seeks a senior Health Insurance Specialist to manage the full range of IDRE dispute reviews, including High Dollar Payment Determination and Default Determination reviews, with cross-training across Eligibility and Payment Determination.
You will operate with independence, maintain audit-ready records, and provide surge coverage across queues while meeting accuracy targets under CMS and URAC standards.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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