Arbitration Specialist - Formal No Surprises Act

Arbitration Specialist The Arbitration Specialist is responsible for analyzing claims eligible for arbitration and reviewing, analyzing and reporting 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. Education and/or Experience High School Diploma or equivalent is required. Medical Billing/Collections Management Experience is highly preferred. Skills/Specialized Knowledge Knowledge of CPT. Knowledge of laws that regulate communication and privacy act. Understanding of HIPAA Laws. Other Requirements Must maintain professional appearance and be on-camera via Teams. Ability to be at work on a regular and consistent basis. Proficiency in using the computer as your primary tool for performing these job responsibilities is required. Perks & Benefits Fully Remote - Work from anywhere within the United States with reliable high‑speed internet but preference is to be based in, or around the Dallas, TX area. Multiple medical plan options. Health Savings Account with company contributions. Dental & vision coverage for you and your dependents. 401k with Company match. Vacation, sick time & Company paid holidays. Company wellbeing program with health insurance incentives. #J-18808-Ljbffr