IDR Arbitrator

Overview

Full-time role responsible for arbitrating/deciding payment disputes, including review and analysis of dispute documentation, determination drafting, and case file management. The work involves researching jurisdictional and substantive issues under federal and state law and regulations related to the No Surprises Act of 2020 and the Federal Independent Dispute Resolution Entity program.

Responsibilities

• Arbitrating/deciding payment disputes, including determining jurisdictional issues when applicable
• Review all dispute-relevant information; request additional information as authorized and required
• Decide whether the initiating party or non-initiating party will be awarded the arbitration decision
• Remain neutral when analyzing materials; write concise determinations within required deadlines
• Review assigned cases to determine and summarize facts and assess the issues involved
• Collaborate with technical and legal professionals, requesting and providing assistance verbally and in writing to reach appropriate decisions
• Research jurisdictional and substantive issues using federal and state law and regulations as they pertain to the No Surprises Act of 2020 and the Federal Independent Dispute Resolution Entity program
• Interpret applicable regulations and policies to determine appropriate decisions regarding both jurisdiction and merits
• Communicate determinations in a clearly written format
• Exercise independent judgment to ensure determinations are accurate, well supported, and defensible; take appropriate action as required
• Draft and/or edit and review determination decisions
• Perform other duties as assigned by management

Requirements

• Primary responsibility is arbitrating/deciding payment disputes; may also determine jurisdictional issues
• Ability to request additional information as authorized and required
• Ability to remain neutral, analyze materials, and produce concise written determinations in a short period of time to meet deadlines
• Strong organizational, interpersonal, written, and communication skills
• Ability to work both independently and as a team member
• Ability to work across multiple systems, including SharePoint, Salesforce, and Microsoft Office products

Preferred Qualifications

• Juris Doctorate preferred
• Certified in Arbitration preferred; required within the year

Organizational / Scheduling Considerations

• Schedules may vary and may include weekend and holiday shifts
• Requires established, professional relationships with internal personnel at all levels and with beneficiaries, representatives, providers, and other stakeholders

Work Environment / Physical Demands

• Office/remote position
• Regularly works in a climate-controlled environment
• Must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time
• Occasionally required to stand, walk, use hands and fingers, kneel or crouch
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

Compensation & Benefits

• $70–$90/hour

Location

Remote position (work performed remotely and/or in an office environment as described above).