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Arbitration Insurance Specialist

Work from home Full-time role Hiring

Location: New York

Job Description

The Arbitration Specialist will provide exceptional customer service to patients while maintaining an organized work environment. The Arbitration Specialist should be a dependable, dynamic, and enthusiastic individual who has flexibility within their schedule to be able to stay until the job is completed. Responsibilities: • Arbitration (Insurance) NJ & Federal • Gather documents (EOBs, HICFAs, Op Notes) and combine into a single file. Send to arbitration, whether internally or externally via one of our attorneys. • Keep accurate records noting each account going to arbitration and date of submission in the patient's file. • Handle any/all arbitration negotiations. • Maintain accurate records of awards from the attorney. • Analyze arbitration payors (win/lose rate and amount of awards). • File corresponding documents/proof of payment in each file that passes through the negotiation window. • Follow up on overdue payment awards from insurance carriers. • Work with legal on any/all litigation issues. • Answer patient or insurance phone calls in a friendly, positive, and professional manner while always providing superior customer service. • Document issues and follow up on responses from all the teams in a timely manner. • Comply with HIPAA regulations. • Become acquainted with treatments offered by the practice. Education and Experience: • 2 years of college education is preferred, but a high school diploma with relevant experience will be taken into consideration. • 2+ years working in a medical office with insurance/billing/arbitration. • Plastic surgery experience not required but preferred. Skills and Abilities: • Must be able to multi-task. • Detail-oriented. • Solid computer skills, including knowledge of Microsoft Excel and Word; internet savvy. • Ability to keep up and work within a fast-paced environment. • Commitment to excellence and high standards. • Strong organizational skills; able to manage priorities and workflow. • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. • Ability to effectively communicate with people at all levels and from various backgrounds. • Must be able to speak, read, write, and understand the primary language used in the workplace. • Professional appearance and demeanor. COMPETENCIES: • Client Focus - Manage difficult or emotional customer situations; Respond promptly to customer needs; Solicit customer feedback to improve service; Respond to requests for service and assistance; Meet commitments. • Oral Communication - Speak clearly and persuasively in positive or negative situations; Listen and get clarification; Respond well to questions. • Teamwork - Balance team and individual responsibilities; Exhibit objectivity and openness to others' views; Give and welcome feedback; Contribute to building a positive team spirit; Put success of team above own interests; Able to build morale and group commitments to goals and objectives; Support everyone's efforts to succeed. Work Location: One location • Work Remotely - No Job Type: Full-time Pay: $25.00 - $30.00 per hour based on experience Company Description: Multi-Surgeon Plastic Surgery Practice #J-18808-Ljbffr Apply Job!

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