Job Description
Are you a detail-oriented healthcare professional looking for an exciting remote role? We are seeking a dedicated Claims Analyst to support the Federal No Surprises Act (NSA) Independent Dispute Resolution (IDR) process! In this specialized position, you will play a crucial role in reviewing, organizing, and preparing arbitration cases for provider disputes, ensuring all documentation meets strict regulatory deadlines and standards.
Working comfortably from your home workspace on a flexible Monday through Friday schedule, you will manage dispute documentation, update case details in tracking systems, and collaborate across cross-functional teams in a fast-paced environment. If you thrive in a deadline-driven role that combines problem-solving, meticulous record-keeping, and healthcare operations expertise, this position offers an excellent opportunity to expand your skills.
salary: $22.99 - $23 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Position Summary: Support the Federal No Surprises Act (NSA) Independent Dispute Resolution process. Review arbitration disputes, organize case documentation, and ensure complete, compliant submissions to certified IDR entities within required timelines.
Key Responsibilities: - Prepare and organize arbitration packets for provider dispute submissions.
- Review arbitration disputes and supporting documentation for accuracy and completeness.
- Maintain dispute details in tracking systems, SharePoint, and internal databases.
- Monitor assigned workload to prioritize cases according to strict regulatory due dates.
- Support operational administrative tasks, including fee payment tracking.
Requirements: - High School Diploma or GED required.
- 2+ years of claims, healthcare operations, or administrative experience.
- Proficiency in MS Excel, Outlook, Teams, and SharePoint.
- strong organizational, data validation, and multi-tasking skills.
- Note: Prior Amisys experience is a disqualifier.
Skills
- Claims
- Claims Processing
- Benefits Administration
- SOP 97-2 / ASC 985: Software Revenue Recogn...
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Remote work, Flexible hours, Shift work