Arbitration Specialist II - Remote

US Anesthesia Partners, Inc.•Remote,

1d•$22 - $35•Remote

About The Position

This position is responsible for the day-to-day submission of out-of-network disputes utilizing the State or Federal independent dispute resolution processes, known as “arbitration”. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $21.97 - $35.14 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

Requirements

Advanced level skill in computer applications including MS Word, MS Excel.
Advanced knowledge of managed care programs and healthcare billing.
Must display teamwork attitude and good inter-personal skills.
Ability to communicate effectively in writing.
Ability to work independently with limited supervision.
Willing to learn new processes.
Organized with strong attention to detail.
Ability to prioritize and organize work and projects to ensure focus on high impact/value-added activities and meet deadlines.
Ability to effectively work well under pressure in a fast-paced environment.
High school diploma or equivalent.
3 – 4 years of related experience.
Excellent written and verbal communication skills.
Intermediate skills in Microsoft Word and Excel is required.
Ability to be detail oriented and organized with ability to prioritize.
Requires prolonged sitting, some bending, stooping and stretching.
Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment.
Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations.
Requires dexterity to type at least 35 wpm.

Nice To Haves

Anesthesia experience preferred.
Knowledge of basic medical terminology and concepts preferred.
Knowledge of CPT, ICD-9, and ASA coding preferred.
Prior collections experience and/or phone work is a plus.

Responsibilities

Monitor arbitration deadlines to ensure compliance.
Manage inventory of assigned disputes regulated by Federal or State law.
Follow arbitration team pathways and standards.
Learn the State and Federal arbitration guidelines associated with assigned cases.
Support the Notice of Open Negotiation process for Federal disputes.
Support the filing of disputes/arbitrations utilizing Department of Insurance portals for State disputes, or the CMS portal for Federal disputes.
Confirm required data to support dispute/arbitration submissions is available for timely and accurate submission.
Ensure that all responses/correspondence submitted for disputes/arbitrations are filed timely and responded to.
Respond to correspondence as directed by management.
Address and research inquiries from arbitrators when applicable.
Provide research and answers to questions and concerns.
Maintain electronic case file and documents to be retained for each dispute/arbitration.
Communicate regularly with arbitration management team on identified trends, issues, concerns, deadlines, etc.
Act as point of contact support for management on assigned cases.
Maintain productivity and quality standards.
Assist with special projects and perform other duties as assigned.