Provider Dispute & Appeals Specialist

LSMA Management Inc. is seeking a Provider Dispute Resolution Specialist to review and resolve provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations.The role ensures compliance with California regulations, contracts, and internal policies while supporting positive provider relations. Requirements include a high school diploma or equivalent, 5+ years of managed care claims processing, and preferred experience in#J-18808-Ljbffr