Arbitration Specialist – State IDR

Remote Full-time
Overview:
HaloMD
Who We Are:
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, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.

Job Summary

The Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement integrity measures. Responsibilities:
Essential Job Duties and Responsibilities
β€’ Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
β€’ Prepare claims for submission to the appropriate portals for arbitration
β€’ Have the ability for re-prioritizing key tasks and meet with manager and director to provide updates of findings and outcomes
β€’ Complete special projects and other duties as assigned
β€’ Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.

β€’ Strong organizational, analytical, and problem-solving skills
β€’ Knowledge of the insurance industry
β€’ Proven success in negotiation and technical writing
β€’ Professionalism in all dealings, both internal and external
β€’ Ability to clearly communicate, both verbally and in writing
β€’ Knowledge of medical terminology
β€’ Other duties as assigned

Qualifications:
Education and/or Experience
β€’ High School Diploma or equivalent is required
β€’ Medical Billing/Collections Management Experience is highly preferred
Skills/Specialized Knowledge
β€’ Knowledge of CPT
β€’ Knowledge of laws that regulates communication and privacy act
β€’ Understanding of HIPPA Laws
Other Requirements
β€’ Must maintain professional appearance
β€’ Ability to be at work on a regular and consistent basis
β€’ Proficiency in using the computer as your primary tool for performing these job responsibilities is required
Perks &

Benefits:
β€’ Fully

Remote – Work from anywhere within the United States with reliable high-speed internet
β€’ Multiple medical plan options
β€’ Health Savings Account with company contributions
β€’ Dental & vision coverage for you and your dependents
β€’ 401k with Company match
β€’ Vacation, sick time & Company paid holidays
β€’ Company wellbeing program with health insurance incentives
What’s Next?

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

Apply Now
Apply Now β†’

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Senior Strategic Advisor, Med Econ Planning & Enablement

Remote

Experienced Virtual Assistant - Data Entry and Job Listings Management Professional for Entertainment and Hospitality Industry at arenaflex

Remote

Preferred Drug List (PDL) Pharmacist

Remote

Experienced Solutions Engineer - K8s Support - Customer First - Remote Opportunity at careerzynith

Remote

Payment Specialist II

Remote

**Experienced Patient Engagement Representative – Remote Customer Service and Administrative Support for a Leading Healthcare Organization**

Remote

[Remote] Virtual Administrative Assistant (No Experience Required)

Remote

Cultivation Manager

Remote

Staff Product Manager, Observability

Remote

Unreal Engine Library Developer (video gaming)

Remote
← Back