Arbitration Insurance Specialist
Location: New York
Job Description
The Arbitration Specialist will provide exceptional customer service to patients while maintaining an organized work environment. The Arbitration Specialist should be a dependable, dynamic, and enthusiastic individual who has flexibility within their schedule to be able to stay until the job is completed.
Responsibilities:
Ā Arbitration (Insurance) NJ & Federal
Ā Gather documents (EOBs, HICFAs, Op Notes) and combine into a single file. Send to arbitration, whether internally or externally via one of our attorneys.
Ā Keep accurate records noting each account going to arbitration and date of submission in the patient's file.
Ā Handle any/all arbitration negotiations.
Ā Maintain accurate records of awards from the attorney.
Ā Analyze arbitration payors (win/lose rate and amount of awards).
Ā File corresponding documents/proof of payment in each file that passes through the negotiation window.
Ā Follow up on overdue payment awards from insurance carriers.
Ā Work with legal on any/all litigation issues.
Ā Answer patient or insurance phone calls in a friendly, positive, and professional manner while always providing superior customer service.
Ā Document issues and follow up on responses from all the teams in a timely manner.
Ā Comply with HIPAA regulations.
Ā Become acquainted with treatments offered by the practice.
Education and Experience:
Ā 2 years of college education is preferred, but a high school diploma with relevant experience will be taken into consideration.
Ā 2+ years working in a medical office with insurance/billing/arbitration.
Ā Plastic surgery experience not required but preferred.
Skills and Abilities:
Ā Must be able to multi-task.
Ā Detail-oriented.
Ā Solid computer skills, including knowledge of Microsoft Excel and Word; internet savvy.
Ā Ability to keep up and work within a fast-paced environment.
Ā Commitment to excellence and high standards.
Ā Strong organizational skills; able to manage priorities and workflow.
Ā Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
Ā Ability to effectively communicate with people at all levels and from various backgrounds.
Ā Must be able to speak, read, write, and understand the primary language used in the workplace.
Ā Professional appearance and demeanor.
COMPETENCIES:
Ā Client Focus - Manage difficult or emotional customer situations;
Respond promptly to customer needs;
Solicit customer feedback to improve service;
Respond to requests for service and assistance;
Meet commitments.
Ā Oral Communication - Speak clearly and persuasively in positive or negative situations;
Listen and get clarification;
Respond well to questions.
Ā Teamwork - Balance team and individual responsibilities;
Exhibit objectivity and openness to others' views;
Give and welcome feedback;
Contribute to building a positive team spirit;
Put success of team above own interests;
Able to build morale and group commitments to goals and objectives;
Support everyone's efforts to succeed.
Work Location: One location
Ā Work Remotely - No
Job Type: Full-time
Pay: $25.00 - $30.00 per hour based on experience
Company Description: Multi-Surgeon Plastic Surgery Practice
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Job Description
The Arbitration Specialist will provide exceptional customer service to patients while maintaining an organized work environment. The Arbitration Specialist should be a dependable, dynamic, and enthusiastic individual who has flexibility within their schedule to be able to stay until the job is completed.
Responsibilities:
Ā Arbitration (Insurance) NJ & Federal
Ā Gather documents (EOBs, HICFAs, Op Notes) and combine into a single file. Send to arbitration, whether internally or externally via one of our attorneys.
Ā Keep accurate records noting each account going to arbitration and date of submission in the patient's file.
Ā Handle any/all arbitration negotiations.
Ā Maintain accurate records of awards from the attorney.
Ā Analyze arbitration payors (win/lose rate and amount of awards).
Ā File corresponding documents/proof of payment in each file that passes through the negotiation window.
Ā Follow up on overdue payment awards from insurance carriers.
Ā Work with legal on any/all litigation issues.
Ā Answer patient or insurance phone calls in a friendly, positive, and professional manner while always providing superior customer service.
Ā Document issues and follow up on responses from all the teams in a timely manner.
Ā Comply with HIPAA regulations.
Ā Become acquainted with treatments offered by the practice.
Education and Experience:
Ā 2 years of college education is preferred, but a high school diploma with relevant experience will be taken into consideration.
Ā 2+ years working in a medical office with insurance/billing/arbitration.
Ā Plastic surgery experience not required but preferred.
Skills and Abilities:
Ā Must be able to multi-task.
Ā Detail-oriented.
Ā Solid computer skills, including knowledge of Microsoft Excel and Word; internet savvy.
Ā Ability to keep up and work within a fast-paced environment.
Ā Commitment to excellence and high standards.
Ā Strong organizational skills; able to manage priorities and workflow.
Ā Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
Ā Ability to effectively communicate with people at all levels and from various backgrounds.
Ā Must be able to speak, read, write, and understand the primary language used in the workplace.
Ā Professional appearance and demeanor.
COMPETENCIES:
Ā Client Focus - Manage difficult or emotional customer situations;
Respond promptly to customer needs;
Solicit customer feedback to improve service;
Respond to requests for service and assistance;
Meet commitments.
Ā Oral Communication - Speak clearly and persuasively in positive or negative situations;
Listen and get clarification;
Respond well to questions.
Ā Teamwork - Balance team and individual responsibilities;
Exhibit objectivity and openness to others' views;
Give and welcome feedback;
Contribute to building a positive team spirit;
Put success of team above own interests;
Able to build morale and group commitments to goals and objectives;
Support everyone's efforts to succeed.
Work Location: One location
Ā Work Remotely - No
Job Type: Full-time
Pay: $25.00 - $30.00 per hour based on experience
Company Description: Multi-Surgeon Plastic Surgery Practice
#J-18808-Ljbffr
Apply Now