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Arbitration Supervisor - Formal No Suprises Act

HaloMD
Remote, USA
Full-time
Mid · 3+ years experience
Remote
Discovered 1 months ago
Microsoft Office

Full Job Posting

  • Lead, motivate, coach, and train a team to achieve business objectives.
  • Monitor and analyze performance metrics to identify areas for improvement.
  • Foster a positive and collaborative work environment.
  • Ensure compliance with company policies and industry regulations.
  • Allocate resources effectively.
  • Provide mentorship and professional development opportunities for team members.
  • Collaborate with senior leadership to align departmental goals with company objectives
  • Plan schedules, assign tasks, and monitor performance to ensure efficiency.
  • Analyze claim reports, submit cases on time, and oversee informal negotiations.
  • Analyze performance metrics, recommend process enhancements, and champion change.
  • Work with external vendors, state agencies, and leadership to resolve issues.
  • Handle escalated concerns, monitor urgent requests, and respond promptly-even after hours if needed.
  • Analyze workflow reports to determine cases eligible for IDR Process
  • Determine the completion timeline and monitor progress to keep the project on track and on schedule
  • Manage the flow of day-to-day operation
  • Complete special projects and other duties as assigned
  • Potentially work with external vendors to assist with issues and resolutions
  • 3+ years in medical billing and collections, and 1+ year supervising a team of 5 or more.
  • Knowledge of CPT, ICD-10, HIPAA, and insurance industry standards.
  • Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters-you're a pro!).
  • Clear, professional, and confident in writing and speaking.
  • Strong analytical and problem-solving skills with keen attention to detail.
  • Availability for urgent matters on weekends if needed.
  • 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

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