Senior No Surprises Act Claims Dispute Specialist

LHH Recruitment Solutions

United States

Sur place

USD 180 000 - 200 000

Plein temps

14 jours+

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Equal Opportunity Employer

Résumé du poste

LHH Recruitment Solutions seeks a skilled Dispute Resolution Specialist in the United States to oversee the full NSA/state-law dispute lifecycle, from open negotiations to final outcomes. You will review medical claims for accuracy and eligibility for appeal, prepare supporting documentation, and coordinate with internal teams to support decisions.

The role requires 3+ years of healthcare claims processing, strong analytical and communication skills, and a detail-oriented, strategic mindset to

Qualifications

3+ years healthcare claims processing experience.
Experience with No Surprises Act dispute resolution highly preferred.
Detail-oriented, analytical, organized and strategic.
Strong written and verbal communication skills.

Responsabilités

Manage the full dispute process, including Open Negotiations, Notices of Offer, IDR/arbitration submissions, reimbursement analysis, supporting documentation, written position statements, deadlines and outcomes.
Review and analyze medical claims to ensure accuracy, compliance, and eligibility for appeal or dispute under the NSA or state law.
Investigate claim payments and denials by reviewing clinical documentation, insurance payer contracts, and claim history.
Initiate and manage disputes under the NSA or state law.