Offer summary

Qualifications:

High School Diploma or equivalent required, with a preference for Medical Billing/Collections Management experience., Strong computer skills, particularly in Microsoft Office, especially Excel, including proficiency in formulas and pivot tables., Knowledge of the insurance industry, medical terminology, and relevant laws such as HIPAA is essential., Proven success in negotiation and technical writing, along with strong organizational and analytical skills..

Key responsabilities:

Analyze claim reports to determine eligibility for arbitration for ERISA/NSA and state insurance department claims.

Prepare claims for submission to arbitration portals and manage updates with management.

Complete special projects and other assigned duties as needed.

Communicate findings clearly, both verbally and in writing, while maintaining professionalism in all interactions.

Job description

Overview:

HaloMD

Who We Are:

We are a fast-growing arbitration/medical billing company looking for a positive person who is interested in being a success and will help take the company to the next level. The seasoned professional for this job needs superior communication and computer skills including familiarity, with Microsoft Outlook, Word and Excel. This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.

Job Summary

The Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement integrity measures.

Responsibilities:

Essential Job Duties and 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
Complete special projects and other duties as assigned
Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, 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

Qualifications:

Education and/or Experience

High School Diploma or equivalent is required
Medical Billing/Collections Management Experience is highly preferred

Skills/Specialized Knowledge

Knowledge of CPT
Knowledge of laws that regulates communication and privacy act
Understanding of HIPPA Laws

Other Requirements

Must maintain professional appearance
Ability to be at work on a regular and consistent basis
Proficiency in using the computer as your primary tool for performing these job responsibilities is required

Perks & Benefits:

Fully Remote – Work from anywhere within the United States with reliable high-speed internet
Multiple medical plan options
Health Savings Account with company contributions
Dental & vision coverage for you and your dependents
401k with Company match
Vacation, sick time & Company paid holidays
Company wellbeing program with health insurance incentives

What’s Next?

If you’re ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard.

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