Job Description

We are an established out-of-network medical billing company located in New Hyde Park, Long Island, seeking an Independent Dispute Resolution Specialist to provide support to the Federal No Surprise Act Department. This position will play a crucial role in providing support to the department by analyzing healthcare claims and managing the IDR process. This position requires strong analytical skills, meticulous attention to detail and effective communication to ensure timely and accurate claim resolution. Key Job Responsibilities:Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR)Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detailResolve outstanding claim issues promptly, maintaining accurate records of all actions takenMonitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlookedCollaborate with team members to balance workloads and support timely handling of negotiation and IDR processesMaintain clear and organized documentation to support compliance and reporting needsContribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiencyQualifications:Prior experience in healthcare claims processing, medical billing, or related fieldsOut of network billing with arbitration experience is helpfulStrong analytical skills with a high level of accuracy and attention to detailAbility to manage multiple priorities and a high-volume workloadAbility to learn various software platforms and navigate Excellent written and verbal communication skillsProficiency in Microsoft Office applications, particularly Excel and OutlookBenefits:Comprehensive health benefits (medical, dental, vision)Aflac Insurance PlansProfit Sharing PlanPaid time off and holidays

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