Arbitration Supervisor

Wheeler Staffing Partners is currently seeking an Arbitration Supervisor to join our healthcare client. The Supervisor of Arbitration will supervise and coordinate the staff’s daily operations. The Supervisor will have the overall responsibility for mentoring and developing skills of direct reports. The Supervisor will participate in evaluation and implementing quality controls and performance improvement activities.

This full-time, fully remote position offers an excellent opportunity to apply your expertise in managing and resolving healthcare-related disputes.

Essential Job Duties and Responsibilities

• Promote department goals by motivating, coaching, and training team members.
• Train new employees in department policies, procedures, processes, and applicable information systems.
• Lead the activities of assigned team members by communicating and providing guidance toward achieving department objectives.
• Plan and prioritize schedules, assign, and monitor work to optimize operations.
• Analyze claim reports to determine claims eligible for arbitration.
• Ensure all ineligibility disputes are completed.
• Ensure all informal negotiations and briefs are submitted in a timely manner.
• Routinely monitor incoming requests and ensure a timely response.
• Routinely evaluate staff performance and audit work output to ensure compliance with expectations and processes.
• Inform staff of changes in policies, procedures, processes, systems, and regulatory laws and requirements.
• Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions.

Education and/or Experience

• High School degree or equivalent
• Minimum of 3 years medical billing and collections experience.
• Minimum of 1-year supervisory experience with more than 5 people.

Skills/Specialized Knowledge

• Knowledge of CPT, and ICD-10.
• Knowledge of legal and regulatory government provisions.
• Knowledge of laws that regulate communication and privacy acts. HIPAA laws and understanding of the application of all above.
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.
• Knowledge of the insurance industry.
• Knowledge of medical terminology

Benefits

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

WSP specializes in filling your company’s contract, contract-to-hire, direct hire, contingency, and executive positions with professional candidates. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals, and RPO Service offerings we create models to deliver a world-class service, with a sense of urgency and professionalism. Our connections and candidates combined with a staff backed by over 20 years of experience ensure that our clients see the right candidates for their career openings.

WSP is committed to creating a diverse environment and is proud to be an equal opportunity employer.