Arbitrations Specialist

OMS MEDICAL BILLING LLC•Addison, TX

19d•Onsite

About The Position

The Arbitration Specialist manages billing disputes and supports compliance with No Surprises Act (NSA) regulations. The role requires an understanding of healthcare billing, particularly anesthesia, and the ability to navigate complex arbitration cases. This is a full-time, on-site position at the corporate office in Addison, Texas, during regular business hours. It reports to the VP of Revenue Cycle Management.

Requirements

Bachelor’s degree in Healthcare Administration, Business, or relevant job experience.
A minimum of 3–5 years of experience in healthcare billing, revenue cycle management, or a related field.
Strong understanding of the No Surprises Act and its implications for medical billing.
Experience with arbitration or mediation processes, preferably in healthcare.
Knowledge of medical coding, billing practices, and insurance claim procedures.

Nice To Haves

Familiarity with anesthesia billing and practice management.

Responsibilities

Manage and oversee arbitration processes for disputes related to the No Surprises Act.
Review and analyze medical bills, insurance claims, and payment data to prepare arbitration cases.
Collaborate with healthcare providers, insurers, and arbitrators to resolve billing disputes.
Ensure compliance with NSA regulations and guidelines in arbitration proceedings.
Prepare and present arguments and evidence during arbitration hearings.
Maintain detailed records of arbitration cases and outcomes.
Stay informed about changes to NSA regulations and industry best practices.
Guide and educate internal teams on NSA compliance and arbitration processes.
Develop strategies to reduce the need for arbitration through proactive billing practices.