Arbitration Specialist - State IDR

MPOWERHealth

84d

About The Position

HaloMD is 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 Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity with Microsoft Outlook, Word, and Excel. This individual will review, analyze, and report reimbursement integrity measures.

Requirements

• High School Diploma or equivalent is required
• Medical Billing/Collections Management Experience is highly preferred
• Knowledge of CPT
• Knowledge of laws that regulate communication and privacy act
• Understanding of HIPAA Laws
• Proficiency in using the computer as your primary tool for performing job responsibilities

Responsibilities

• Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
• Prepare claims for submission to the appropriate portals for arbitration
• Re-prioritize key tasks and meet with manager and director to provide updates of findings and outcomes
• Complete special projects and other duties as assigned
• Utilize strong computer skills including Microsoft Office with a strong proficiency in Excel spreadsheets, using formulas, pivot tables, filters, etc.
• Demonstrate strong organizational, analytical, and problem-solving skills
• Exhibit professionalism in all dealings, both internal and external
• Communicate clearly, both verbally and in writing
• Possess knowledge of medical terminology
• Perform other duties as assigned

Benefits

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

What This Job Offers

• Education Level: High school or GED