Disputes Resolution Specialist Jobs

Minimum of 3 years of experience in billing and collection management, preferably in healthcare

Insurance verification, claim submission, follow up, denial management and remit review

Communicate status of projects to team leader/manager on a daily or weekly basis depending on project requirements

Perform all denial management and collections procedures to obtain payment

Effectively prioritize and manage time to accomplish project goals and expectations

Bachelor's degree in Billing or related field, or equivalent experience

Progressive people management, with experience building and developing high-performing teams.

Hire, and develop a varied, globally-based team, including managers and ICs and communicate mission and goals with transparency

Experience leading dispute mediation and escalation support teams, preferably in the two-sided marketplace/payments/FinTech space.

Experience building and following new and often innovative strategies that directly connect important initiatives to measurable results.

Define roadmap strategies and plans including measurable outcomes that may be incorporated into annual Operating Plans.

You will own operational relationships with external payment partners; ensure accountability for any contractual clauses about support procedures and expectations.

Two or more years of related work experience, or a relevant combination of education, training, and experience

Well-developed research and analytical abilities

Proficient computer navigation skills using a variety of software packages including Microsoft Office applications

Competent clerical skills and strong attention to detail is necessary for all roles

High school diploma or equivalent

Ability to follow defined procedures, policies and precedents

Leadership experience, whether through direct management, mentorship, or projects

Collaborate with Account Management and internal departments for dispute resolution

Manage team's KPIs, workload, and performance management

Be responsible for internal stakeholder management

Experience and knowledge of the freight forwarding industry

Provide tasks and responsibilities for team members

Exercises strong decision making and problem-solving skills

Gain knowledge of the Poshmark community

Bachelor’s degree or equivalent experience

At least one year of customer service experience preferred

Excellent verbal and written communication skills

Flawless attention to detail and great organizational skills

Computer Skills: Intermediate MS Suite knowledge and experience

Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries

Support other projects and duties as assigned by Management

High school diploma or general education degree (GED); or equivalent combination of education and experience.

Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits

Minimum of 1-2 years healthcare experience and/or training required; 3-4 years of healthcare experience/training preferred

Working knowledge of Reg E, Z, data privacy and other regulatory requirements for dispute management

Manage inbound escalations from multiple sources to resolution and identification of potential processing problems requiring escalations to product and engineering teams

Coordinate with our Issuing Bank partners to ensure that Marqeta is compliant with their requirements for monitoring, reporting, and dispute resolution.

3 - 5+ years of relevant experience (financial services, payment industry, etc)

Experience in direct customer interaction; ability to talk through complex cases and render positive outcomes

Ability to prioritize, manage, and deliver on multiple projects simultaneously; highly motivated and able to work against aggressive schedules

1 year of related experience in transportation including TMS interaction and carrier/customer contract auditing and accounts receivable

Experience with Microsoft Office (Outlook, PowerPoint, Word & Excel)

Excellent verbal and written communication skills

Demonstrated analytical skills; ability to effectively identify and resolve problems

Audit freight invoices by interpreting and applying customer contracts, terms and conditions

Audit invoices before sending to customer to verify they are accurate and collectible

Technical skills must include SQL, Python, Tableau/Looker, and cloud environments

Exemplify a customer-focused approach, prioritizing the needs and satisfaction of customers by delivering tailored solutions and exceptional experiences

BS/BA or higher degree in finance, economics, mathematics, engineering or related field

Paid Life insurance, AD&D, and disability benefits

Leverage data-driven insights to assess and optimize business performance, while proactively identifying opportunities to enhance the performance of the merchant portfolio

Exhibit autonomy, agility in navigating ambiguity, and ability to adapt, problem-solve, and make sound decisions to effectively overcome challenges and obstacles

Technical skills must include SQL, Python, Tableau/Looker, and cloud environments

Exemplify a customer-focused approach, prioritizing the needs and satisfaction of customers by delivering tailored solutions and exceptional experiences

BS/BA or higher degree in finance, economics, mathematics, engineering or related field

Paid Life insurance, AD&D, and disability benefits

Leverage data-driven insights to assess and optimize business performance, while proactively identifying opportunities to enhance the performance of the merchant portfolio

Exhibit autonomy, agility in navigating ambiguity, and ability to adapt, problem-solve, and make sound decisions to effectively overcome challenges and obstacles

This position has the possibility to be 100% remote**

Manage timesheet issues, including reviewing timesheets on hold and resolving paycheck issues.

Manage enhanced rate confirmation process.

Two-year degree or one (1) year of experience in a human resources field.

Understanding of Federal and State Employment Laws and Requirements such as DOL guidelines

Demonstrate knowledge of the Human Resources Department and its essential functions

A bachelor’s or master’s degree in Accounting; additional coursework in Finance, Economics, and/or Database Management is a plus

Knowledge or experience with other analytic tools (e.g. SQL, Tableau, R, Python, etc.)

2 - 5 years of audit, financial compliance, or other related professional services experience

Excellent written and verbal communication skills

Achieved or working towards the CPA designation or other relevant professional designation preferred

Preparation of schedules and graphical exhibits summarizing results of analytics

Skilled at collaboration and relationship management through building trust, credibility and teamwork.

Aid Market Teams in the management of Emergency and Crisis situations as needed and directed.

Highly organized with experience prioritizing multiple functions and tasks while managing time efficiently without compromising quality

Workplace flexibility (for remote-specified positions only) #ABetterWaytoWork

Ensure that resolutions involving compensation are consistent and equitable based on unique circumstances and similar incident resolutions.

Facilitates the tracking, follow ups and timely resolution of all tasks.

Progressive people management, with experience building and developing high-performing teams.

Hire, and develop a varied, globally-based team, including managers and ICs and communicate mission and goals with transparency

Experience leading dispute mediation and escalation support teams, preferably in the two-sided marketplace/payments/FinTech space.

Experience building and following new and often innovative strategies that directly connect important initiatives to measurable results.

Define roadmap strategies and plans including measurable outcomes that may be incorporated into annual Operating Plans.

You will own operational relationships with external payment partners; ensure accountability for any contractual clauses about support procedures and expectations.

To prepare shift reports for the Management

Manage ad-hoc situations which may occur on shift in appropriate manner to still be able to deliver all products

A keen skill for multi-tasking along with excellent problem-solving skills

Ability to make managerial decisions requiring independent judgment and to identify and refer other issues to the proper authorities

Excellent computer literacy skills - command of Microsoft Office products in particular

To ensure that all tables are operational without interruptions

Performs other duties and responsibilities as assigned.

Bachelor’s Degree or relevant work experience

On the job training and skills development

Researches, reviews, and resolves reconsideration of previous claim determinations.

Prepares correspondence advising of appeal determination.

Contacts veterinary clinics to secure medical records and discuss difficult cases with clinic staff. Logs and tracks complaints and appeals.

6+ years of work experience with 3+ years of direct people management experience required

Past product or project management experience

Manage a team of high performing individuals in fast-paced environment

Manage individual performance to metrics and provide ongoing insight and coaching

Strong error resolution process knowledge

Experience building and scaling Customer ops teams

A track record of healthy collaboration with product managers, engineers, and other engineering managers on developing roadmaps and executing against them

Paid Life insurance, AD&D. and disability benefits

5+ years working on complex systems and delivering quality software

Curiosity, creativity, persistence and a desire to get things done

HTTP, JSON, gRPC, Protocol Buffers

Retirement Plans including company match

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

Analyze and utilize all bank records, systems and the case management system to facilitate a comprehensive review of all disputed transactions.

Interact with the internal departments to identify trends/issues and offer recommendations for improvements to policy and procedures, as applicable.

High school diploma or equivalent experience.

Ability to exercise independent judgment and knowledge to ensure that departmental procedures and regulations are met.

Excellent verbal and written communication skills.

Manage internal collection queue with varying stages of delinquency and past due balances.

Minimum of three (3) years collections experience in consumer or commercial collections.

General knowledge of collections regulations.

100% Remote. Flexible Work Schedule & Location.

Work From Home / Internet / Cell Phone Stipend.

Initiate contact with delinquent borrowers on a consistent basis via outbound call and email communications.