Arbitration Specialist - Revenue Recovery

Overview

HaloMD

Who We Are

We are 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 seasoned professional for this job needs superior communication and computer skills including familiarity, with Microsoft Outlook, Word and Excel. This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.

Job Summary

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

Responsibilities

Essential Job Duties and 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
• Have the ability for re-prioritizing key tasks and meet with manager and director to provide updates of findings and outcomes
• Complete special projects and other duties as assigned
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Proven success in negotiation and technical writing
• Professionalism in all dealings, both internal and external
• Ability to clearly communicate, both verbally and in writing
• Knowledge of medical terminology
• Other duties as assigned

Qualifications

Education & Experience

• High School Diploma or equivalent
• Experience in AR or Insurance Collections

Technical & Industry Knowledge

• Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters, etc.)
• Familiarity with the insurance industry and the No Surprises Act (IDR process)
• Knowledge of CPT codes, HIPAA regulations, and communication/privacy laws
• Understanding of legal and medical terminology

Skills & Abilities

• Strong organizational, analytical, and problem-solving skills
• Ability to reconcile accounts and triage cases for procedural errors
• Prepare and submit weekly client reports
• Excellent verbal and written communication skills
• Professionalism in all interactions
• Collaborative team player

Other Requirements

• Consistent and reliable attendance
• Maintains a professional appearance
• Comfortable using a computer as the primary tool for job functions
• Performs other duties as assigned

Perks & 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’s Next?

If you’re ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123

Originally posted on Himalayas