Arbitrations Specialist

OrthoMed Anesthesia; Addison (TX); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health/Dental/Vision Insurance

401(k) with 3% company contributions

Professional development

Collaborative work environment

Job summary

OrthoMed seeks an Arbitration Specialist to oversee NSA-related billing disputes at our Addison, TX corporate office. The role requires on-site presence and a thorough understanding of healthcare billing and arbitration practices.

You will manage arbitration cases, review bills and claims, collaborate with providers and insurers, ensure NSA compliance, and keep detailed records to support fair, efficient resolutions.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field.
• 3–5 years of experience in healthcare billing or revenue cycle management.
• Strong understanding of the No Surprises Act and its billing implications.
• Experience with arbitration or mediation in healthcare.
• Knowledge of medical coding, billing practices, and insurance claims.
• Familiarity with anesthesia billing is a plus.

Responsibilities

• Manage arbitration process for No Surprises Act disputes.
• Review medical bills, claims, and payments for arbitration prep.
• Collaborate with providers, insurers, and arbitrators to resolve disputes.
• Ensure NSA compliance in all arbitration proceedings.
• Prepare and present evidence during hearings.
• Maintain detailed case records.
• Stay updated on NSA regulations and best practices.
• Educate internal teams on NSA compliance and arbitration processes.
• Develop strategies to minimize arbitration through proactive billing.

Skills

NSA knowledge

Arbitration/mediation

Medical billing

Insurance claims

Anesthesia billing knowledge

Education

Bachelor's degree in Healthcare Administration, Business, or relevant job experience

Job description

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.