Arbitration Specialist - Formal No Surprises Act

HaloMD Job Opportunity

We are a fast-growing arbitration / medical billing company looking for a positive person who is interested in being a success and will help take the company to the next level. The seasoned professional for this job needs superior communication and computer skills including familiarity with Microsoft Outlook, Word, and Excel. This individual specializes in the resolution of arbitration negotiations, schedules arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.

Responsibilities

The Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including Microsoft Outlook, Word, and Excel. This individual will review, analyze, and report reimbursement integrity measures.

Essential Job Duties and Responsibilities :

• Analyze claim reports to determine claims eligible for Arbitration for both ERISA / NSA claims as well as state insurance department claims
• Prepare claims for submission to the appropriate portals for arbitration
• Have the ability for re-prioritizing key tasks and meet with manager and director to provide updates of findings and outcomes
• Complete special projects and other duties as assigned
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spreadsheets, using formulas, pivot tables, filters, etc.
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Proven success in negotiation and technical writing
• Professionalism in all dealings, both internal and external
• Ability to clearly communicate, both verbally and in writing
• Knowledge of medical terminology
• Other duties as assigned

Qualifications

Education and / or Experience :

Skills / Specialized Knowledge :

Other Requirements :

Perks & Benefits :

What's Next?

If you're ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123