Offer summary

Qualifications:

High School Diploma or equivalent required., Minimum of 2 years Revenue Cycle Management Experience., Strong organizational, analytical, and problem-solving skills., Knowledge of the insurance industry and independent dispute resolution process..

Key responsabilities:

Analyze workflow reports to determine cases eligible for IDR Process.

Manage the flow of day-to-day operations and assign tasks to team members.

Develop and organize reports for leadership evaluation.

Communicate clear instructions and updates to team members and upper management.

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 Team Lead of Arbitration will supervise and coordinate the staff’s daily operations. This role will have the overall responsibility for mentoring and developing skills of direct reports. The Team Lead will participate in evaluation and implementing quality control and performance improvement activities.

Responsibilities:

Essential Job Duties and Responsibilities

Analyze workflow reports to determine cases eligible for IDR Process
Determine the completion timeline and monitor progress to keep the project on track and on schedule
Develop a strategy that the team members can use to better reach a project goal
Manage the flow of day-to-day operation
Assign tasks to team members
Manage team within KPI standard or find improvement to surpass improvements
Assist with identification of trends by Arbitrator/Health Plan
Identify system errors
Develops and organizes reports into a format that can easily be evaluated by Leadership
Potentially work with external vendors to assist with issues and resolutions
Have the ability for re-prioritizing key tasks and meet with upper management to provide updates of findings and outcomes
Complete special projects and other duties as assigned
Ability to clearly communicate, both verbally and in writing
Ability to motivate and train employees
Proven ability to maintain high productivity standards
Determine the completion timeline and monitor progress to keep the project on track and on schedule
Communicate clear instruction to team members
Strong understanding of insurance plans and policies
Professionalism in all dealings, both internal and external
Strong organizational, analytical, and problem-solving skills
Knowledge of medical terminology
Knowledge of the insurance industry
Other duties as assigned

Qualifications:

Education and/or Experience

High School Diploma or equivalent required
Minimum of 2 years Revenue Cycle Management Experience
IDR experience preferred
Leadership experience preferred

Skills/Specialized Knowledge

Strong organizational analytical and problem solving skills
Knowledge of insurance industry
Knowledge of independent dispute resolution process
Ability to clearly communicate both verbally and in writing
Knowledge of medical terminology
Knowledge of CPT, and/or ICD-10
Friendly, outgoing personality
Basic knowledge of company policies and procedure
Knowledge of legal and regulatory government provisions
Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above
Experience with MS Office applications including Word, Excel, Access, Outlook, PowerBI

Other Requirements

Must maintain professional appearance
Ability to be at work at regular and consistent times

Work Environment

Remote work environment, ability to work independently and in a group environment

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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