Senior Provider Claims Dispute Expert (Temp)

Zing Health, Inc.; United States; Remote; USD 48,000 - 54,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401(K) match

Paid time off

Life insurance

Maternal/Paternal leave

Employee assistance

Job summary

Zing Health, Inc. is seeking a Senior Provider Claims Dispute Specialist for a temporary role that will conclude on December 31, 2026.

The position focuses on timely, accurate, and compliant resolution of complex provider disputes related to claims adjudication, reimbursement, coding, authorization decisions, and benefits. The role requires advanced knowledge of CMS requirements, Medicare Advantage, and state regulations, with strong analytical and collaboration skills across cross-functional

Qualifications

• Associate’s degree in Healthcare Administration, Business Administration, Finance, Nursing, or related field required; bachelor’s preferred.
• Five to seven years of progressive experience in Medicare Advantage claims operations or provider disputes.
• Experience interpreting provider contracts and reimbursement methodologies.

Responsibilities

• Serve as SME for provider dispute resolution policies, CMS requirements, and reimbursement methodologies.
• Investigate and resolve escalated, high-dollar provider disputes.
• Develop and maintain dispute dashboards and reports.
• Ensure compliance with CMS, HIPAA, and state regulations.

Skills

CMS requirements

Regulatory knowledge

Root cause analysis

Dispute resolution

Analytical skills

Excel proficiency

Education

Associate's degree

Bachelor's degree preferred

Tools

Excel

MS Office

Job description

Zing Health, Inc. is seeking a Senior Provider Claims Dispute Specialist for a temporary role that will conclude on December 31, 2026.

The position focuses on timely, accurate, and compliant resolution of complex provider disputes related to claims adjudication, reimbursement, coding, authorization decisions, and benefits. The role requires advanced knowledge of CMS requirements, Medicare Advantage, and state regulations, with strong analytical and collaboration skills across cross-functional