Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
10
10
years of professional experience
Work History
Paralegal
Gottlieb & Greenspan, LLC
08.2024 - Current
Participate in the No Surprises Act (NSA) process.
Draft and submit Open Negotiation Letters in compliance with the No Surprises Act (NSA) to initiate payment dispute resolution between providers and payers.
Manage timelines and documentations for the Open Negotiation and Independent Dispute Resolution (IDR) processes.
File dispute cases through the CMS Independent Dispute Resolution (IDR) portal, ensuring compliance with federal billing regulations and timelines.
Review and correct medical codes for resubmission after IDR dismissals, contributing to successful reimbursement appeals.
Submit additional documentation (such as insurance information, EOB, HCFA etc.) to support eligibility determinations for Independent Dispute Resolution (IDR) cases under the NSA, ensuring accurate arbitration processing.
Successfully reinstate dismissed cases by presenting clear arguments and supporting evidence to arbitration panels.
Prepare concise summaries of operative reports to support the No Surprise Act dispute resolution an claims processing procedures.
Track and report metrics on No Surprises Act-related case filings.
Interact with insurance companies,medical providers and arbitration entities ensuring timely follow-up.
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