Temporary Dispute Resolution Specialist - Remote Job at Sound Physicians

Sound Physicians Brentwood, TN 37027

About Sound:

Sound Physicians is a leading physician partner to hospitals, health plans, physician groups, and post-acute providers seeking to transform outcomes for acute episodes of care. For 20 years our high-performing and affordable care models have combined physician leadership, clinical process, technology and analytics to consistently improve clinical and financial performance. We are pioneers in value, working together with our partners and community providers to bridge gaps in care, from hospital to home.

About the Role:

The Temporary Dispute Resolution Specialist will provide support to the Independent Dispute Resolution (IDR) Team with the independent dispute resolution arbitration process and submission packet.

Essential Duties and Responsibilities:

  • Retrieve documentation required for IDR arbitration submission.
  • Communicate and follow up with the IDR team - collect completed submission documents in a timely manner
  • Coordinate with other departments if documentation is missing.
  • Maintain IDR database files to reflect completion of retrieved data.
  • Perform other duties as assigned.

Confidentiality

  • Maintains strict confidentiality with regard to protected health information understands and adheres to Sound Physicians HIPAA Privacy & Security policies and procedures.
  • Maintains strict confidentiality regarding provider information.

Knowledge and Experience:

  • Strong understanding of Microsoft software products including Word, Excel, and Outlook.
  • Must be detail oriented and thorough in order to ensure the complete and correct required information is collected.
  • Must be able to communicate well with a wide variety of contacts at all levels of the organization.
  • Must be able to work cohesively in a team-oriented environment and be able to foster good working relationships with others both within and outside the organization.
  • Must be an organized "self-starter" requiring little supervision in order to focus on and accomplish tasks.
  • Adobe document editor

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment. #ZR




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