Senior Provider Claims Dispute Expert

Tecsa; Chicago (IL); On-site; USD 90,000 - 125,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) match up to 4%

Paid Time Off

Employee Assistance Programs

Life Insurance

Job summary

Zing Health is seeking a Senior Provider Claims Dispute Specialist in Chicago to resolve complex provider disputes, review payments, and interpret contracts. You will lead regulatory-compliant investigations, develop dashboards, and collaborate across Claims Operations, Compliance, and IT to improve accuracy and outcomes.

The role requires deep CMS knowledge, strong data analysis skills, and excellent communication. This is a temporary position concluding December 31, 2026, on-site in Illinois.

Qualifications

• Advanced knowledge of CMS requirements and Medicare Advantage.
• Experience interpreting provider contracts and reimbursement.
• Strong analytical and communicational skills.

Responsibilities

• Investigate escalated, high-dollar provider disputes and perform reviews.
• Maintain records of dispute research, determinations and recoveries.
• Develop dispute reports and dashboards for leadership.
• Collaborate with Claims Ops, Provider Services, Compliance, and IT to implement improvements.
• Support audits and regulatory reviews related to provider disputes.

Skills

CMS requirements

Provider dispute resolution

Data analysis

Regulatory knowledge

Communication

Contract interpretation

Attention to detail

Education

Associate's degree

Bachelor's degree preferred

Tools

Excel

Word

Job description

Zing Health is seeking a Senior Provider Claims Dispute Specialist in Chicago to resolve complex provider disputes, review payments, and interpret contracts. You will lead regulatory-compliant investigations, develop dashboards, and collaborate across Claims Operations, Compliance, and IT to improve accuracy and outcomes.

The role requires deep CMS knowledge, strong data analysis skills, and excellent communication. This is a temporary position concluding December 31, 2026, on-site in Illinois.