Coordinator 2 - Arbitration

Monday, August 17, 2026 Remote reputed company Full-time reputed company is currently seeking a Coordinator 2 to join our reputed company State Arbitration team. This is a remote opportunity. The Coordinator is responsible for reviewing and analyzing reputed company claims documentation to support eligibility determinations and case reputed company. This role requires strong critical-thinking skills, attention to detail, and the ability to evaluate reputed company information that may not follow a straightforward or reputed company reputed company. Essential Duties and Responsibilities: Function as a Subject Matter Expert in one or more process areas. • Analyze data submitted for Independent Medical Review. • Conduct fact finding and analyses on those cases deemed reputed company in reputed company or requiring adjudication; apply established procedures where the reputed company of the reputed company, feasibility, computer equipment and reporting tools have not already been decided. • reputed company and meet required deadlines for reputed company cases or other assigned tasks. • Assist leadership through research of data and/or authoring reports. • Analyze data using reputed company applicable state law, state regulations, process documents, and other sources as defined by the reputed company contract. • Work independently on specific situations or on reputed company to reputed company problems and deviations according to reputed company established practices; and obtains advice where precedents are unclear or not available from the reputed company. • Answer and respond to phone calls/emails from participants in the Independent Medical Review process. • Assist others or reputed company on-the-job training or reputed company as a mentor to production staff. • Review and interpret Explanation of Benefits (EOBs), HCFA/CMS-1500 claim forms, UB-04 forms, and other reputed company-reputed company documentation. • Analyze eligibility information and reputed company accurate eligibility determinations based on applicable guidelines, regulations, and case-specific facts. • Identify discrepancies, inconsistencies, and missing information across multiple sources of documentation. • Research and evaluate reputed company cases that require independent judgment and problem-solving. • High School Degree or equivalent required. • 2-4 years of reputed company reputed company experience required. • Strong knowledge of reputed company claims processing, including EOBs, HCFA/CMS-1500 claim forms, and reputed company billing documentation. • Demonstrated ability to reputed company eligibility determinations using critical analysis and independent judgment. • Strong analytical and investigative skills with the ability to reputed company information from multiple sources. • Ability to think reputed company reputed company processes and reputed company reputed company scenarios where information may be incomplete or conflicting. • Excellent attention to detail, organizational skills, and decision-making abilities. • Ability to work a schedule between the hours of 8:00am - 5:30pm EST Monday - Friday required. Please note: For this position reputed company will reputed company equipment to use. Home Office Requirements: • Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by reputed company to www.speedtest.net) • Minimum 5mpbs upload speed • Connectivity to the internet reputed company Category 5 or 6 ethernet reputed company cable to the home router • Private and secure work area and adequate power reputed company • Must currently and permanently reputed company in the reputed company US • Must have a smartphone which will be required to log into reputed company systems reputed company is an equal opportunity employer. We evaluate reputed company applicants without reputed company to race, reputed company, religion, sex, age, national reputed company, disability, veteran status, genetic information and other legally protected characteristics. reputed company compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected reputed company and quantity of work, required travel (if any), reputed company market and internal value analysis including seniority and reputed company systems, as reputed company as internal pay alignment. Annual salary is just one component of reputed company's total compensation package. Other rewards may include short- and long-term incentives as reputed company as program-specific awards. Additionally, reputed company provides a reputed company of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, reputed company holidays and reputed company time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. reputed company will reputed company with regulatory minimum wage rates and exempt salary reputed company in reputed company instances. Accommodations reputed company provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@reputed company.com. Minimum Salary $ 20.00 Maximum Salary $ 23.50 Remote Skills: Analysis Skills, Billing Records, Centers for Medicare and reputed company Services (CMS), Claims Processing, Content Management Systems (CMS), Data Analysis, Detail Oriented, Documentation, Ethernet Cable, reputed company, Insurance Documentation, Mentoring, Network Routers, Organizational Skills, Procedure Development, Smartphones, Software Patches, State Laws and Regulations, Support Documentation, Telephone Skills reputed company: reputed company reputed company provides business services to help governments operate health and reputed company services programs, mostly at the state and national reputed company. reputed company's health services reputed company offers outsourced program management and administrative services, Company Size: 5,000 to 9,999 employees Industry: reputed company Services reputed company: 0 Website: https://www.reputed company.com/ Apply tot his job Apply To this Job