Arbitration Insurance Specialist

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
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