Arbitration Specialist II

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $21 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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US Anesthesia Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2012

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

US Anesthesia Partners is a leading provider of comprehensive anesthesia services, dedicated to delivering exceptional patient care and operational excellence. Founded by a team of forward-thinking anesthesiologists, USAP specializes in various anesthesiology areas including cardiovascular care, obstetrics, and pediatrics. With a network of thousands of clinicians and hundreds of facility partners across the nation, they serve over two million patients annually, aiming to redefine the standards of quality in anesthesia services.

📋 Description

• Submit and manage out-of-network disputes through State and Federal independent dispute resolution/arbitration processes • Monitor arbitration deadlines and ensure compliance • Manage assigned dispute inventory regulated by Federal or State law • Follow arbitration team pathways and standards • Learn and apply State and Federal arbitration guidelines to assigned cases • Support the Notice of Open Negotiation process for Federal disputes • File State disputes through Department of Insurance portals and Federal disputes through the CMS portal • Confirm required data is available for timely and accurate submissions • File and respond to dispute/arbitration correspondence on time • Respond to correspondence as directed by management • Research and address inquiries from arbitrators • Provide research-based answers to questions and concerns • Maintain electronic case files and retained documents • Communicate trends, issues, concerns, and deadlines to the arbitration management team • Act as management point-of-contact support for assigned cases • Maintain productivity and quality standards • Assist with special projects and perform other assigned duties • No direct reports

🎯 Requirements

• High school diploma or equivalent • 3–4 years of related experience • Advanced skill in computer applications, including MS Word and MS Excel • Intermediate skills in Microsoft Word and Excel required • Advanced knowledge of managed care programs and healthcare billing • Excellent written and verbal communication skills • Ability to work independently with limited supervision • Ability to communicate effectively in writing • Ability to work a flexible schedule, including occasional weekends • Knowledge of basic medical terminology and concepts preferred • Knowledge of CPT, ICD-9, and ASA coding preferred • Organized with strong attention to detail • Ability to prioritize and organize work, meet deadlines, and work under pressure in a fast-paced environment • Ability to type at least 35 wpm • Must possess sufficient eye-hand coordination/manual dexterity to operate office equipment • Required normal range of hearing and eyesight • Ability to occasionally lift papers and boxes weighing up to 35 pounds • Anesthesia experience preferred • Prior collections experience and/or phone work is a plus

🏖️ Benefits

• Quarterly bonus eligibility (not guaranteed; based on company and individual performance)