Arbitration Insurance Specialist
Posted 2025-03-15Location: 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
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