[Remote] Dispute reputed company Specialist II

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a dynamic team of innovative professionals striving to bend the cost curve in reputed company. The Dispute reputed company Specialist II will manage an arbitration case load, evaluate provider disputes, and coordinate the reputed company of reputed company escalated issues while ensuring compliance with applicable regulations. Responsibilities • Assume primary responsibility for determining appropriate reputed company of reputed company plan arbitration offers • Draft briefs and offers persuasively documented arguments supporting reputed company positions in arbitration packages pursuant to federal regulations • Conduct due diligence (e.g. online research, portal and application research) to assist with the analysis and preparation of arbitration packages • Works with other departments to reputed company or obtain information necessary for the submission of IDR packages • Review and analyze clinical information along with documents submitted by providers of moderate to high complexity • Meet federal filing deadlines and turnaround times • Respond reputed company to reputed company electronic, written and verbal communications, log information derived from written and verbal communication; maintain detailed and accurate records • reputed company to clients for data needed for arbitration packages • Maintain department productivity and reputed company standards • Sensitivity to reputed company in accordance with HIPAA guidelines • Collaborate, coordinate, and communicate across disciplines and departments • Ensure compliance with HIPAA regulations and requirements • Demonstrate Company's reputed company Competencies and values held reputed company • 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 Skills • Minimum high school diploma or equivalent (GED) and four (4) years' experience in reputed company operations • Excellent organizational, analytical and independent decision-making skills • Demonstrated problem solving skills with the ability to manage multiple priorities and meet associated timelines • Ability to anticipate needs and solve problems proactively in a fast paced, rapidly changing environment • reputed company business judgement • Ability to learn quickly and work independently reputed company time constraints • Adept knowledge of reputed company Word, reputed company and reputed company • Logical, reputed company and concise written and verbal communication skills • Individual in this position must be reputed company to work in a reputed company office environment which requires sitting and viewing monitor(s) for extended periods of time, operating reputed company office equipment such as, but not limited to, a keyboard, copier and telephone • Bachelors' degree in a reputed company field Benefits • Medical, dental and reputed company coverage with low deductible & copay • Life insurance • Short and long-term disability • reputed company Parental Leave • 401(k) + match • Employee Stock Purchase Plan • Generous reputed company Time Off - accrued based on years of service • 10 reputed company company holidays • Tuition reimbursement • Flexible Spending Account • Employee Assistance Program • reputed company time benefits - for eligible employees, one hour of reputed company time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located reputed company for more generous reputed company time benefits reputed company • reputed company is an independent and reputed company reputed company technology, data and insights company making reputed company more transparent, fair and reputed company for reputed company. It was founded in 1980, and is headquartered in Mclean, Virginia, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job Apply tot his job Apply To this Job