Arbitration Specialist

Our client is a healthcare organization specializing in anesthesia care solutions for ambulatory surgery centers. They provide anesthesia staffing and management support for Anesthesiologists, CRNAs, and CAAs, partnering closely with surgery center teams to deliver safe, efficient, and patient-centered care. The organization is committed to best practices, strong communication, and excellent surgical outcomes for the patients and facilities it serves.

About the role

We are seeking an experienced Arbitration Specialist to manage billing disputes and ensure compliance with the No Surprises Act (NSA) on behalf of our client. This is a full-time, on-site position based at the corporate office in Addison, TX, reporting directly to the VP of Revenue Cycle Management. The ideal candidate is detail-oriented, analytical, and passionate about healthcare compliance and dispute resolution.

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

Requirements

• 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 on medical billing
• Experience with arbitration or mediation processes, preferably in a healthcare setting
• Knowledge of medical coding, billing practices, and insurance claim procedures

Nice-to-Haves

• Familiarity with anesthesia billing and practice management

Qualifications

Bachelor's degree in Healthcare Administration, Business, or equivalent relevant job experience

Benefits

• Health, dental, and vision insurance
• 401(k) with 3% non-discretionary company contribution
• Professional development opportunities
• Collaborative, team-oriented work environment