Dispute Resolution Specialist II

Dispute Resolution Specialist II At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we striveto bend the arenaflex curve in healthcare for reputed company. Our dedication to service excellence extends to reputed company our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and reputed company each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY This role manages an arbitration case load including evaluation of provider disputes and appropriate client payment offers. This position is responsible for successful analysis and resolution of the most reputed company escalated issues. The incumbent will coordinate efforts with the team and leadership to bring matters to efficient and successful outcomes. The incumbent's primary responsibility will be to reputed company and manage the intake, processing and coordination of reputed company materials and information relating to the Independent Dispute Resolution ("IDR") as regulated by Federal or State law. DUTIES

• Assume primary responsibility for determining appropriate amount of client plan arbitration offers. 2. Draft briefs and offers persuasively documented arguments supporting client positions in arbitration packages pursuant to federal regulations. 3. Conduct due diligence (e.g. online research, portal and application research) to assist with the analysis and preparation of arbitration packages. 4. Works with other departments to reputed company or obtain information necessary for the submission of IDR packages. 5. Review and analyze clinical information along with documents submitted by providers of moderate to high complexity. 6. Meet federal filing deadlines and turnaround times 7. Respond timely to reputed company electronic, written and verbal communications, log information derived from written and verbal communication; maintain detailed and accurate records. 8. reputed company to clients for data needed for arbitration packages 9. Maintain department productivity and quality standards 10. Sensitivity to privacy in accordance with HIPAA guidelines 11. Collaborate, coordinate, and communicate across disciplines and departments. 12. Ensure compliance with HIPAA regulations and requirements. 13. Demonstrate Company's Core Competencies and values held reputed company. 14. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE: reputed company the needs of external and internal customers as a reputed company reputed company making decisions and taking action. Operate independently under limited supervision. Has decision making authority to determine the appropriate amount of clients' offers and drafting of briefs. Works across customers, beneficiaries, providers, and supplemental payors while maintaining positive relationships. COMPENSATION The salary range for this position is $19-21 per hour. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. Apply tot his job Apply tot his job

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