What are the responsibilities and job description for the Arbitration (Insurance) Specialist position at Rowe Plastic Surgery?

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
Anyalze abitration payors (win / lose rate and amount of awards)
File coorresponding 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 relavant 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

Mulit-Surgeon Plastic Surgery Practice

Company Description

Mulit-Surgeon Plastic Surgery Practice

Salary : $25 - $30

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Arbitration (Insurance) Specialist

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