NSA Arbitrations Specialist

Job Summary

Our client is seeking an experienced NSA Arbitrations Specialist to manage arbitration cases, specifically focusing on dispute resolution from initial submission through resolution and reporting. This role requires in-depth knowledge of healthcare billing regulations, including the federal No Surprises Act (NSA) and state-level guidelines.

Key Responsibilities

• Manage a high-volume portfolio of arbitration cases using structured workflow algorithms.
• Initiate and conduct negotiations with commercial insurance payers, adhering to regulatory deadlines for favorable outcomes.
• Submit claims and disputes through independent resolution portals, complying with legal frameworks.
• Maintain communication with insurance adjusters to advocate for claim adjustments.
• Track and document arbitration cases, and report settlement results.

Qualifications

• Strong background in medical appeals or legal dispute resolution, such as paralegal or insurance negotiations.
• Preferred: Experience with the No Surprises Act (NSA) or TDI.

Skills

• Excellent communication and negotiation skills.
• Proficient in documentation and structured workflow processes.

Shift

Monday through Friday, 8-5 pm

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.