Arbitrations Specialist
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Key details
- Location
- Addison, TX, United States
- Work style
- Onsite
- Level
- Mid level
- Job type
- Full-time
- Experience
- 3–5 yrs
- Function
- Operations & Strategy
- Focus area
- other
- Posted
- 2w ago
Skills
About the role
Position Overview
The Arbitration Specialist role is essential for managing billing disputes and ensuring compliance with the No Surprises Act (NSA) regulations. This position requires a deep understanding of healthcare billing practices, particularly in anesthesia, and strong arbitration skills to navigate complex cases. This is a full-time position based at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours.
Key Responsibilities
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Manage and oversee the arbitration process for disputes related to the No Surprises Act
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Review and analyze medical bills, insurance claims, and payment data to prepare for arbitration cases
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Collaborate with healthcare providers, insurers, and arbitrators to resolve billing disputes
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Ensure compliance with NSA regulations and guidelines in all arbitration proceedings
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Prepare and present compelling arguments and evidence during arbitration hearings
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Maintain detailed records of arbitration cases and outcomes
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Stay updated on changes to NSA regulations and industry best practices
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Provide guidance and education to internal teams on NSA compliance and arbitration processes
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Develop strategies to minimize the need for arbitration through proactive billing practices
Qualifications
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Bachelor's degree in Healthcare Administration, Business, or relevant job experience
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Minimum of 3-5 years of experience in healthcare billing, revenue cycle management, or related field
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Strong understanding of the No Surprises Act and its implications on medical billing
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Experience with arbitration or mediation processes, preferably in healthcare
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Knowledge of medical coding, billing practices, and insurance claim procedures
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Familiarity with anesthesia billing and practice management is a plus
At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment.
Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become an integral part of our dynamic team!