Remote Arbitration Claims Specialist

UnitedHealth Group; Dallas (TX); Remote; USD 33,000 - 59,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking an Arbitration Claims Specialist to support the IDR team in ensuring compliance with No Surprises Act and state surprise billing laws. This full-time remote role handles dispute review and arbitration briefs, with flexibility to work 8-hour shifts during business hours.

You will analyze EOBs and claims data, respond to inquiries, and resolve issues in a fast-paced environment, contributing to accurate dispute outcomes while maintaining HIPAA compliance and

Qualifications

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience preparing written summaries, case reviews, reports, or briefs in a regulated, compliance driven, or legal adjacent environment
• 1+ years of experience reviewing and interpreting claims data, Explanation of Benefits, and supporting documentation to identify issues and determine appropriate next steps
• Experience ensuring compliance with HIPAA privacy and security regulations
• Ability to work full-time between 8:00 am - 5:00 pm local time, including the flexibility to work occasional overtime given the business need

Responsibilities

• Prepare arbitration briefs
• Respond to inquiries from CMS, arbiters, providers, clients, and ClearHealth management
• Identify issues, analyze EOBs and claim information, apply critical thinking skills to formulate plan of action, and resolve issues independently
• Triage complex issues to management
• Manage multiple priorities in a time sensitive manner
• Work in fast-paced, high-volume environment with quick turnaround time

Education

High School Diploma / GED OR equivalent work experience

Job description

UnitedHealth Group is seeking an Arbitration Claims Specialist to support the IDR team in ensuring compliance with No Surprises Act and state surprise billing laws. This full-time remote role handles dispute review and arbitration briefs, with flexibility to work 8-hour shifts during business hours.

You will analyze EOBs and claims data, respond to inquiries, and resolve issues in a fast-paced environment, contributing to accurate dispute outcomes while maintaining HIPAA compliance and