Position Overview
The Arbitration Specialist role is essential for managing billing disputes and ensuring compliance with the No Surprises Act (NSA) regulations. This position requires a deep understanding of healthcare billing practices, particularly in anesthesia, and strong arbitration skills to navigate complex cases. This is a full-time position based at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours.
Key Responsibilities
Manage and oversee the arbitration process for disputes related to the No Surprises Act
Review and analyze medical bills, insurance claims, and payment data to prepare for arbitration cases
Collaborate with healthcare providers, insurers, and arbitrators to resolve billing disputes
Ensure compliance with NSA regulations and guidelines in all arbitration proceedings
Prepare and present compelling arguments and evidence during arbitration hearings
Maintain detailed records of arbitration cases and outcomes
Stay updated on changes to NSA regulations and industry best practices
Provide guidance and education to internal teams on NSA compliance and arbitration processes
Develop strategies to minimize the need for arbitration through proactive billing practices
Bachelor's degree in Healthcare Administration, Business, or relevant job experience
Minimum of 3-5 years of experience in healthcare billing, revenue cycle management, or related field
Strong understanding of the No Surprises Act and its implications on medical billing
Experience with arbitration or mediation processes, preferably in healthcare
Knowledge of medical coding, billing practices, and insurance claim procedures
Familiarity with anesthesia billing and practice management is a plus
At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment.
Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become an integral part of our dynamic team!
Job description provided by OrthoMed Anesthesia.
View the original posting
