Analyst, State Dispute Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Prepare and submit requests for state disputes and arbitration through various state portals, agencies, and arbitration entities.

• Adhere to the documentation and formatting requirements set by each state.

• Monitor filing and response deadlines diligently.

• Manage filing fees and ensure that payments awarded are received from payers.

• Follow up on payments that are delayed or incorrect.

• Oversee shared inboxes for correspondence.

• Communicate with payers, state agencies, and arbitration entities effectively.

• Document next steps for each case accurately.

• Update internal systems and spreadsheets with relevant case details and statuses.

• Close disputes only after they have been fully resolved.

• Refer to state guidelines regarding eligibility, deadlines, forms, and fees.

• Identify and flag rule changes or discrepancies to ensure state references remain up-to-date.

• Inform analytics and product teams when case files are missing information or contain inaccuracies.

• Collaborate with analytics and product teams to maintain the integrity of case data.

⛳️ Requirements

• 2–4 years of experience in data management, operational tracking, revenue cycle operations, claims management, or insurance operations.

• Proficiency in medical billing or coding.

• Ability to interpret EOBs, claims, and reimbursement codes comfortably.

• Proficient in Excel or Google Sheets, including the use of pivot tables.

• Highly detail-oriented with a keen ability to identify inconsistencies in documents and data.

• Capable of managing a high volume of work and competing deadlines with accuracy.

• Comfortable adhering to detailed, state-specific processes.

• Strong written communication skills, with the ability to ask insightful questions and identify problems early on.

• Familiar with the federal No Surprises Act and its relationship with state surprise billing laws.

• Prior experience with state arbitration programs, such as those in New York, New Jersey, or Texas.

• Experience with Asana, Metabase, or other project management software.

• Medical billing/coding certification, such as CPC, is a plus.

• Must have authorization to work in the United States without current or future employer sponsorship.

• Reside in the CST or EST time zones.

🏝️ Benefits

• Competitive compensation, including equity options.

• Comprehensive health, dental, and vision insurance coverage.

• Retirement savings plan available through 401(k).

• Flexible time off policy.

• Opportunities for company-wide engagement and events.

• Remote work setup available.