Role Description
Capitol Bridge Inc is seeking a highly skilled and detail-oriented Arbiter to join our team. The Arbiter will be responsible for arbitrating/deciding payment disputes, analyzing documentation, and managing case files. The ideal candidate has a strong understanding of Microsoft systems, excellent writing skills, and a keen eye for detail.
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This role is primarily responsible for arbitrating/deciding payment disputes.
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The arbiter must remain neutral when analyzing the materials provided and must be able to write a concise determination in a short period of time to meet deadlines.
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Review cases to determine and summarize facts of each case assigned and assess issues involved in the case.
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Research issues using federal law, federal regulations, relevant contract law; review plan contracts and other relevant information; make a decision as to whether an enrollee is entitled to benefits in cases involving contractual disputes.
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Communicate the determination in a clearly written format.
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Exercise independent judgment to ensure determination is accurate, well supported, and defensible; take appropriate action as required.
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Acquire all necessary information involving cases and render final determination based on the information provided by the appellant.
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Manage highly complex case files.
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Perform other duties as may be assigned by management.
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Draft and review payment determination decisions.
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Draft email responses to payment dispute questions or concerns from the disputing parties.
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Interpret applicable regulations and policies associated with the case to determine recommendations.
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Ensure solutions are consistent with organizational objectives.
Qualifications
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Juris Doctorate preferred.
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Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
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Excellent organizational, interpersonal, written, and communication skills.
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Ability to work as a team member, as well as independently.
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Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products.
Requirements
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This is a 1099 contractor position.
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Location: Remote (Continental US).
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Base Rate: $32 per completed dispute (200 cases per month preferred).
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Training: 3-4 weeks (mostly self-paced).
Benefits
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Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.