NSA Specialist

nimble•North New Hyde Park, NY

About The Position

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide support to the Federal No Surprise Act Department. This position will play a crucial role in providing support to the department by analyzing healthcare claims and managing the IDR process. It requires strong analytical skills, meticulous attention to detail, and effective communication to ensure timely and accurate claim resolution.

Requirements

Prior experience in healthcare claims processing, medical billing, or related fields
Out-of-network billing with arbitration experience is helpful
Strong analytical skills with a high level of accuracy and attention to detail
Ability to manage multiple priorities and a high-volume workload.
Ability to learn various software platforms and navigate
Excellent written and verbal communication skills
Proficiency in Microsoft Office applications, particularly Excel and Outlook
Exceptional organizational and analytical abilities
Strong understanding of medical billing and coding as it relates to out-of-network claims
Excellent communication and negotiation skills

Responsibilities

Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR)
Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail
Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken.
Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked.
Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes.
Maintain clear and organized documentation to support compliance and reporting needs.
Contribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiency.

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