No Surprises Act Negotiator

Job Summary

A company is looking for a No Surprises Act Negotiator.

Key Responsibilities

• Ensure appeals are categorized correctly and obtain additional documentation for case reviews
• Evaluate and negotiate claims in accordance with established surprise billing laws while managing a high volume of negotiations
• Communicate appeal information to providers and internal/external parties within required timeframes

Required Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 1+ years of experience with insurance claims, billing, or eligibility verification in a healthcare setting
• Proficiency with computers and ability to navigate complex systems
• Ability to work any of the 8-hour shift schedules during normal business hours