Arbitration Specialist

Wheeler Staffing Partners is seeking an Arbitration Specialist for a remote role for our client in the healthcare industry. The Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, with Microsoft Outlook, Word, and Excel. This individual will review, analyze, and report reimbursement integrity measures.

Responsibilities

• Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
• Prepare claims for submission to the appropriate portals for arbitration
• Have the ability for re-prioritizing key tasks and meet with manager and director to provide updates of findings and outcomes
• Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions
• Complete special projects and other duties as assigned
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spreadsheets, using formulas, pivot tables, filters, etc.
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Proven success in negotiation and technical writing
• Professionalism in all dealings, both internal and external
• Ability to clearly communicate, both verbally and in writing
• Knowledge of medical terminology
• Other duties as assigned

Education and/or Experience

• High School degree or equivalent
• Minimum of 3 years Medical Billing/Collections Management Experience
• Knowledge of CPT
• Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above
• Must maintain professional appearance.
• Ability to be at work on a regular and consistent basis

WSP specializes in filling your company’s contract, contract-to-hire, direct hire, contingency, and executive positions with professional candidates. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals, and RPO Service offerings we create models to deliver a world-class service, with a sense of urgency and professionalism. Our connections and our candidates combined with a staff backed by over 20 years of experience, ensure that our clients are seeing the right candidates for their career openings.

WSP is committed to creating a diverse environment and is proud to be an equal-opportunity employer.