Zelis · 4 hours ago
Regulated Claims Settlement Coordinator
US NJ Morristown
Full-time
Onsite
Mid Level
$19/hr - $24/hr
3+ years expZelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. The Regulated Claims Settlement Coordinator supports the Claims Settlement Team by leading the review and response to disputed claims submitted through state and federal arbitration processes, ensuring compliance and optimal success in arbitration reviews.
FinanceFinTechHealth Care
No H1B
Responsibilities
Prepares and presents Zelis’ response packages to cases submitted for arbitration at both the state and federal level under the NSA
Provide input and guidance on the selection process for certified arbitration entities under the NSA
Create a scalable IDR defense package through improved automation in the creation and compilation of the necessary data elements
Ensure Claims Settlement processes deliver required information for arbitration reviews and position Zelis for optimal success
Provides monthly performance reporting to departmental leadership
Confirms that all documentation adheres to Zelis standards regarding privacy, compliance, legal aspects, and HIPAA standards
Ensures all cases remain compliant with required timelines for responses and required Zelis input
Performs other related responsibilities as assigned
Qualification
Required
Three years or more experience with healthcare claims settlement
Experience with healthcare arbitration, mediation, or contract negotiation setting
Knowledge of the full Microsoft Office Suite of products to include, but not limited to, MS Outlook, MS Word, MS Excel, and MS PowerPoint
A background in healthcare collections, provider billing, negotiations or compliance is helpful
Bachelor's degree helpful
Benefits
401k plan with employer match
Flexible paid time off
Holidays
Parental leaves
Life and disability insurance
Health benefits including medical, dental, vision, and prescription drug coverage
Company
Zelis
Zelis is modernizing the healthcare financial experience for all.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$20.15MKey Investors
Mubadala
2024-12-04Private Equity
2020-01-05Private Equity· $20.15M
2019-01-01Private Equity
Leadership Team
Amanda Eisel
Chief Executive Officer
Brian Gladden
Chief Financial Officer
Recent News
2026-01-15
2025-12-10
Company data provided by crunchbase