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WelbeHealthDispute Specialist
WelbeHealth seeks a Dispute Specialist to handle first-level claims disputes between the organization and both contracted and non-contracted providers. This position involves investigating claim records, meeting…
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About this role
Dispute Specialist at WelbeHealth is a full-time role. Work arrangement: Remote. Location: Not specified. No salary is shown in this listing. It was posted on Oct 1, 2026. This listing is paused and not taking applications at the moment.
Job Description
WelbeHealth seeks a Dispute Specialist to handle first-level claims disputes between the organization and both contracted and non-contracted providers. This position involves investigating claim records, meeting production standards, and processing acknowledgment and determination letters while keeping detailed notes on all decisions. The person in this role will collaborate with leadership and team members to track improper processing trends, educate providers, and support compliance with all relevant regulations. Candidates may also assist with data entry for incoming clean claims during high-volume periods.
This role is well-suited for professionals with a solid background in health plan claims processing and dispute resolution who excel at communication and organization. WelbeHealth focuses on serving vulnerable seniors through shared intention, a pioneering spirit, and a participant-first approach. The company provides a supportive environment that encourages career growth, professional advancement, and a strong balance between personal and professional life.
Responsibilities
- Examine claim records and forms to investigate and resolve first-level disputes while meeting quality and production standards
- Process acknowledgment and determination letters and log detailed notes regarding actions and dispute decisions
- Partner with leadership to report improper processing trends and provider concerns
- Build working relationships with colleagues, interdepartmental staff, and leadership
- Maintain up-to-date knowledge of compliance rules, regulations, and claims processing guidelines
- Perform data entry for incoming clean claims when required
Requirements
- Three years of health plan claims processing experience
- Two years of health plan claims dispute experience analyzing and resolving provider claims
- Proficiency with computer software including Excel, Outlook, PowerPoint, Word, and Teams
- Ability to navigate state and federal websites and medical billing guidelines
- Proof of COVID-19 vaccination or completion of a vaccine declination form prior to employment
Qualifications
- High school diploma or equivalency
- Professional experience in a Managed Care Plan or PACE organization claims processing environment
Core Skills
Benefits
- Base salary ranging from $33.80 to $39.14 USD per hour plus bonus
- Medical, dental, and vision insurance coverage
- Seventeen days of personal time off
- Twelve observed annual holidays plus sick time
- 401(k) retirement savings plan with a company match
- Opportunities for internal career advancement
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the salary range for the Dispute Specialist role?
The base compensation for this position ranges from $33.80 to $39.14 USD per hour, plus a bonus and a total rewards package.
What are the core experience requirements?
Applicants must have at least three years of health plan claims processing experience and two years of health plan claims dispute experience.
What benefits are included?
WelbeHealth offers medical, dental, and vision insurance, a 401(k) match, 17 days of personal time off, 12 observed holidays, sick time, and internal advancement opportunities.
Is the work location or remote status specified?
The posting does not specify the exact location or remote status for this role.
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