NSA Claims Disputes Specialist & Appeals Analyst

ARSA - Advanced Reconstructive Surgery Alliance; United States; On-site; USD 55,000 - 60,000; Full time

Benefits offered by this job

Health Insurance

401k and Profit sharing

Discounts on Products & Services

Health Benefits

Job summary

Advanced Reconstructive Surgery Alliance (ARSA) is seeking a Claims Dispute Specialist to manage complex medical claim disputes and NSA compliance. The role emphasizes strong written communication, analytical skills, and deadline-driven dispute processes.

Key duties include reviewing claims for NSA eligibility, investigating denials, initiating disputes, and preparing persuasive written arguments with cross-team collaboration. Competitive benefits and salary are provided.

Qualifications

• 1–3 years in healthcare claims processing preferred
• Experience with No Surprises Act dispute resolution highly preferred
• Bachelor’s degree relevant field preferred

Responsibilities

• Review and analyze medical claims for accuracy, compliance, and eligibility for dispute under NSA or state law
• Investigate claim payments and denials by reviewing documentation and contracts
• Initiate and manage disputes under NSA or state law
• Prepare clear written arguments for disputes and appeals
• Analyze data to support negotiations and dispute arguments
• Collaborate with ARSA teams to ensure timely dispute resolution

Job description

Advanced Reconstructive Surgery Alliance (ARSA) is seeking a Claims Dispute Specialist to manage complex medical claim disputes and NSA compliance. The role emphasizes strong written communication, analytical skills, and deadline-driven dispute processes.

Key duties include reviewing claims for NSA eligibility, investigating denials, initiating disputes, and preparing persuasive written arguments with cross-team collaboration. Competitive benefits and salary are provided.