Role Description
Commence 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 and excellent writing skills.
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Primarily responsible for arbitrating/deciding payment disputes, but may also determine jurisdictional issues.
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Review all dispute-relevant information; request additional information as authorized and required; decide as to whether the initiating party or non-initiating party will be awarded the arbitration decision.
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Remain neutral when analyzing the materials provided and 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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Collaborate with other technical and legal professionals, requesting and dispensing assistance as needed, verbally and in writing, to reach the most appropriate decision.
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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.
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Interpret applicable regulations and policies associated with the case to determine the appropriate decision, both concerning jurisdiction and the merits.
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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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Draft and/or edit and review determination decisions.
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Perform other duties as may be assigned by management.
Qualifications
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Juris Doctorate preferred.
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Certified in Arbitration is preferred, required within the year.
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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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Schedules may vary and may include weekend and holiday shifts.
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This position requires established, professional relationships with internal personnel at all levels within the company and with beneficiaries, representatives, providers, and other stakeholders.
Work Environment/Physical Demands
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The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
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This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment.
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Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time.
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Occasionally required to stand, walk, use hands and fingers, kneel or crouch.