Arbitration Supervisor Verification of Benefits - Shared Services

Overview

HaloMD

Ready to Lead and Make an Impact? Become Our Remote Supervisor of Arbitration! 

Are you a problem-solver with a passion for guiding teams to success? Do you thrive in a fast-paced environment where every day brings new challenges and opportunities to shine? If so, we want YOU to help us drive our mission forward!

 

Who We Are: 

HaloMD is a fast-growing arbitration and medical billing company on a mission to streamline processes, resolve disputes, and deliver exceptional service. Our success comes from our people, and we’re searching for a dynamic leader to help take us to the next level.

 

Job Summary

The Supervisor 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 Supervisor will participate in evaluation and implementing quality control and performance improvement activities.

Responsibilities

Essential Job Duties and Responsibilities:

 

As our Supervisor of Arbitration, you’ll be the heartbeat of our operations—leading a team, driving results, and making a real difference. 

 

If you’re a natural leader with a sharp eye for detail, a talent for problem-solving, and a passion for guiding teams, you will:

• Promote department goals by motivating, coaching, and training team members

• Train new employees on department policies, procedures, processes, and applicable information systems

• Plan and prioritize schedules, assign, and monitor work to optimize operations

• Analyze claim reports to determine claims eligible for arbitration

• Ensure all cases are submitted timely

• Ensure all ineligible disputes are complete

• Ensure all informal negotiations and briefs are submitted timely

• Routinely monitor incoming requests and ensure A timely response

• Routinely evaluate staff performance, audit work, work output to ensure compliance with expectations and processes

• Inform staff of changes in policies, procedures, processes, systems, and regulatory laws and regulations

• Gather and analyze department matrix and prepare reports for management review

• Recommend procedural and system changes to improve processes, operational quality, and efficiency I.e., job aids, training resources and workflow

• Collaborate with upper-level management to provide updates of findings and outcomes

• Actively participate and monitor process improvement

• Work with external vendors such as State Department of Insurance (DOI)/No Surprise Act (NSA) personnel and arbitrators/IDRE to assist with issues and resolution

• Maintain attendance payroll records and a timely processing of employee time off request

• Handle escalated issues and concerns

• Monitor urgent action items as needed after work hours and/or weekends

• Complete and monitor special projects

• Other duties as assigned

Qualifications

Experience Required:

• High School degree or equivalent required
• Minimum 3-years of medical billing and collection experience
• Minimum of 1-year supervisory experience with more than five people

Skills/Specialized Knowledge

• Knowledge of CPT, and ICD-10
• Knowledge of legal and regulatory government provisions
• Knowledge of laws that regulate communications and privacy act HIPAA laws and understands the application of all above
• Strong computer skills including Microsoft Office and a strong proficiency in excel spreadsheets using formulas, pivot tables, filters, etc.
• Strong organizational analytical and problem solving skills
• Knowledge of insurance industry
• Knowledge of independent dispute resolution process
• Proven success in negotiation and technical writing professionalism in dealing with both internal and external customers
• Ability to clearly communicate both verbally and in writing
• Knowledge of medical terminology
• 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
• Must maintain high speed Internet that meets and exceeds connectivity requirements when working remotely
• Must be available on weekends to respond to urgent action items

Perks & Benefits: