Arbitration Specialist

Job Summary

To manage the day-to-day submission of out-of-network disputes, the remote Arbitration Specialist will utilize state and federal dispute resolution processes, ensuring compliance with arbitration guidelines and maintaining accurate records.

Key responsibilities

• Monitor arbitration deadlines and manage the inventory of assigned disputes
• Support the filing of disputes and maintain electronic case files for each arbitration
• Communicate regularly with the arbitration management team regarding trends and issues

Required qualifications

• High school diploma or equivalent with 3-4 years of related experience
• Advanced knowledge of managed care programs and healthcare billing, with anesthesia experience preferred
• Proficiency in MS Word and MS Excel
• Knowledge of basic medical terminology, CPT, ICD-9, and ASA coding preferred
• Ability to work independently with limited supervision and maintain productivity standards