No Surprises Act Arbitrator

TASK SUMMARY

The No Surprises Act Arbitrator role is a 1099 position. Services are paid for on a per-case basis for contracting work completed.

The experienced Arbitrator makes the payment determination in the independent dispute resolution process between providers, facilities, providers of air ambulance services, out-of-network services, and excessive emergency room charges provided by group health plans, health insurance issuers, and Federal Employees Health Benefits (FEHB) Program carriers. The arbitrator makes the determinations based on the rules enacted under the No Surprises Act (NSA). The NSA process requires that the Entity determine a case's eligibility and whether any conflict of interest exists regarding the arbitrator selected for a particular dispute. The responsibilities of an arbitrator include analyzing information provided by the Parties to the dispute using knowledge of the NSA requirements and acceptable criteria under the NSA, and creating a report on the outcome of the arbitration process in accordance with the NSA requirements. There is no hearing component to these reviews; this is a strictly paper-based review process.

To be successful as an Arbitrator, you should have solid knowledge of healthcare-related payment determinations, sound organizational skills, and strong understanding of industry practices. Ultimately, a top-notch arbitrator must have the ability to remain neutral when analyzing the materials provided by the parti