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Arbitrations Specialist - NSA

OMS MEDICAL BILLING LLC · omsmedicalbilling.com
AddisonMid level3–5 yrs
Apply on OMS MEDICAL BILLING LLC’s site

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The job in short

Arbitration specialist work.

InsuranceCompliance

Details

Found
27 d ago · posted 2025-12-05
Location
ADDISON, TX, USA
Pay (as listed)
$21–$29 an hour

Full description

Job Details: Job Location: Addison Billing Entity - ADDISON, TX, Salary Range: $21.00 - $29.00Hourly, Position Overview  The Arbitration Specialist role is essential for managing billing disputes and ensuring compliance with the No Surprises Act (NSA) regulations. This position requires a deep understanding of healthcare billing practices, particularly in anesthesia, and strong arbitration skills to navigate complex cases. This is a full-time position based at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours.    Key Responsibilities  Manage and oversee the arbitration process for disputes related to the No Surprises Act  Review and analyze medical bills, insurance claims, and payment data to prepare for arbitration cases  Collaborate with healthcare providers, insurers, and arbitrators to resolve billing disputes  Ensure compliance with NSA regulations and guidelines in all arbitration proceedings  Prepare and present compelling arguments and evidence during arbitration hearings  Maintain detailed records of arbitration cases and outcomes  Stay updated on changes to NSA regulations and industry best practices  Provide guidance and education to internal teams on NSA compliance and arbitration processes  Develop strategies to minimize the need for arbitration through proactive billing practices    Qualifications  Bachelor's degree in Healthcare Administration, Business, or relevant job experience  Minimum of 3-5 years of experience in healthcare billing, revenue cycle management, or related field  Strong understanding of the No Surprises Act and its implications on medical billing  Experience with arbitration or mediation processes, preferably in healthcare  Knowledge of medical coding, billing practices, and insurance claim procedures  Familiarity with anesthesia billing and practice management is a plus    At OrthoMed, you'll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun collaborative work environment.    Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now to become an integral part of our dynamic team!  Qualifications:

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