Arbiter Attorney (Onsite) (58440)
Capitol Bridge, LLC.•Columbia, SC
•$70,000 - $90,000•Onsite
About The Position
Capitol Bridge Inc is seeking a highly skilled and detail-oriented Arbiter to join our team. The Arbiter will be responsible for arbitrating/deciding payment disputes, analyzing documentation, and managing case files. The ideal candidate has a strong understanding of Microsoft systems, excellent writing skills, and a keen eye for detail.
Requirements
- 3+ years of relevant professional experience required
- Minimum of 3+ years of arbitrating or adjudicating and processing disputes in medical field
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment
- Excellent organizational, interpersonal, written, and communication skills
- Ability to work as a team member, as well as independently
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products
Nice To Haves
- Juris Doctorate preferred
Responsibilities
- This role is primarily responsible for arbitrating/deciding payment disputes
- The arbiter must remain neutral when analyzing the materials provided, and must be able to write a concise determination in a short period of time to meet deadlines
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case
- Research issues using federal law, federal regulations, relevant contract law
- Review plan contracts and other relevant information; make a decision as to whether an enrollee is entitled to benefits in cases involving contractual disputes
- Communicate the determination in a clearly written format
- Exercise independent judgment to ensure determination is accurate, well supported and defensible; take appropriate action as required
- Acquire all necessary information involving cases and render final determination based on the information provided by the appellant
- Manage highly complex case files
- Perform other duties as may be assigned by management
- Draft and review payment determination decisions
- Draft email responses to payment dispute questions or concerns from the disputing parties
- Interpret applicable regulations and policies associated with case to determine recommendation
- Ensure solutions are consistent with organizational objectives
Benefits
- Medical, Dental, and Vision benefits available
- 401(k) available with company match
- Paid holidays
- Paid Vacation Time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
