Arbitrations Specialist

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

Qualifications

• 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

Benefits

• Health/dental/vision insurance
• 401(k) with 3% non-discretionary company contributions
• Professional development opportunities
• Fun collaborative work environment