Arbitration Specialist II

Job Summary

Managing the day-to-day submission of out-of-network disputes, the full-time remote Arbitration Specialist II will ensure compliance with arbitration deadlines, manage inventory of disputes, and support the submission process for both State and Federal disputes.

Key responsibilities

• Monitor arbitration deadlines and manage inventory of assigned disputes
• Support the filing of disputes using Department of Insurance and CMS portals
• Maintain electronic case files and communicate regularly with the arbitration management team

Required qualifications

• High school diploma or equivalent with 3-4 years of related experience
• Advanced knowledge of managed care programs and healthcare billing; anesthesia experience preferred
• Proficiency in Microsoft Word and Excel
• Knowledge of basic medical terminology and coding (CPT, ICD-9, ASA) preferred
• Ability to work independently and manage multiple priorities in a fast-paced environment