Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to work on critical healthcare regulations impacting patient care
- Engage in meaningful work by resolving disputes between providers and insurers
- Monday to Friday schedule for work-life balance

What to Expect (Job Responsibilities):
- Review and analyze disputes, ensuring complete and accurate documentation
- Render impartial payment determinations based on the No Surprises Act and supporting regulations
- Request additional information as needed and document case details in the system
- Research and apply federal healthcare regulations to case-specific situations
- Ensure timely resolution while meeting productivity and quality standards

What is Required (Qualifications):
- Education: Bachelor’s degree REQUIRED; healthcare dispute resolution experience may substitute
- Experience: Background in healthcare law, arbitration, dispute resolution, or claims adjudication
- Strong critical thinking skills
- Excellent communication skills
- Knowledge of healthcare finance and proficiency in case management systems

How to Stand Out (Preferred Qualifications):
- Law degree, RN, or paralegal certification
- Healthcare coding knowledge

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