Arbitration Team Lead - State IDR at MPOWERHealth

, , United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jan, 26

Salary

0.0

Posted On

11 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Communication Skills, Organizational Skills, Analytical Skills, Problem-Solving Skills, Insurance Knowledge, Medical Terminology, Leadership Skills, Team Motivation, Report Generation, Quality Control, Performance Improvement, CPT Knowledge, ICD-10 Knowledge, MS Office Proficiency, Customer Professionalism, Time Management

Industry

Hospitals and Health Care

Description

Overview HaloMD Who We Are: We are a fast-growing arbitration/medical billing company looking for a positive person who is interested in being a success and will help take the company to the next level. The seasoned professional for this job needs superior communication and computer skills including familiarity, with Microsoft Outlook, Word and Excel. This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers. Job Summary The Team Lead of Arbitration will supervise and coordinate the staff’s daily operations. This role will have the overall responsibility for mentoring and developing skills of direct reports. The Team Lead will participate in evaluation and implementing quality control and performance improvement activities. Responsibilities Essential Job Duties and Responsibilities Analyze workflow reports to determine cases eligible for IDR Process Assist with identification of trends by Arbitrator/Health Plan Identify system errors Develops and organizes reports into a format that can easily be evaluated by Leadership Have the ability for re-prioritizing key tasks and meet with upper management to provide updates of findings and outcomes Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions Complete special projects and other duties as assigned Strong organizational, analytical, and problem-solving skills Knowledge of the insurance industry Professionalism in all dealings, both internal and external customers Ability to clearly communicate, both verbally and in writing Strong understanding of insurance plans and policies Ability to motivate and train employees Proven ability to maintain high productivity standards Develop a strategy that the team members can use to better reach a project goal Assign tasks to team members Ability to keep team within KPI standard or find improvement to surpass improvements Determine the completion timeline and monitor progress to keep the project on track and on schedule Communicate clear instruction to team members Manage the flow of day-to-day operation Knowledge of medical terminology Other duties as assigned Qualifications Education and/or Experience High School Diploma or equivalent required Minimum of 2 years Revenue Cycle Management Experience IDR experience (preferred) Leadership experience (preferred) Skills/Specialized Knowledge Strong organizational analytical and problem solving skills Knowledge of insurance industry Knowledge of independent dispute resolution process Ability to clearly communicate both verbally and in writing Knowledge of medical terminology Knowledge of CPT, and/or ICD-10 Friendly, outgoing personality Basic knowledge of company policies and procedure Knowledge of legal and regulatory government provisions Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above Experience with MS Office applications including Word, Excel, Access, Outlook, PowerBI Other Requirements Must maintain professional appearance Ability to be at work at regular and consistent times Perks & Benefits: Fully Remote – Work from anywhere within the United States with reliable high-speed internet Multiple medical plan options Health Savings Account with company contributions Dental & vision coverage for you and your dependents 401k with Company match Vacation, sick time & Company paid holidays Company wellbeing program with health insurance incentives What’s Next? If you’re ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123

Responsibilities

The Arbitration Team Lead will supervise and coordinate daily operations of the arbitration staff, mentoring and developing their skills. This role includes analyzing workflow reports, identifying trends, and managing external vendor relationships.