Independent Dispute Resolution Paralegal

Dane Street; West Palm Beach (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

Dane Street is seeking motivated paralegals for a new dispute resolution program. The role involves reviewing medical billing information, ensuring accuracy, and communicating with clients. Join a fast-paced environment with competitive compensation and growth potential.

Benefits

Generous PTO

Excellent benefits

Competitive salary

Qualifications

• 3-5 years as a paralegal in a law firm or healthcare firm.
• Arbitration experience is strongly preferred.

Responsibilities

• Evaluate and organize medical information for case adjudication.
• Ensure medical records match documentation; obtain correct documentation.
• Provide excellent customer service and oversee complex cases.

Skills

Urgency

Self-motivation

Communication

Attention to detail

Education

Paralegal Certification

Tools

Google Chrome

Gmail

Docs

Sheets

Job description

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Paralegals, claims resolution managers, and administrative law judges with healthcare claims experience are needed! Dane Street is looking for highly motivated paralegals to work in a new dispute resolution program. Pre-legal, professional bill review, claims resolution managers, and administrative law judges all have the skills necessary for this program. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.

Job Summary:

A new program on the group health side of our business enables you to apply your organizational knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information, address all questions posed, and ensure reports are returned within client deadlines.

Core Duties & Responsibilities:

1. Evaluate and organize medical information to ensure proper case adjudication. Determine if cases meet all established program standards.
2. Ensure medical records are matched appropriately to documentation; obtain correct documentation if needed.
3. Participate in training, which may include arbitration training.
4. Read policy guidelines and determine when criteria are or are not met.
5. Evaluate claims for conflicts of interest and appropriateness.
6. Work within established timeframes set by program parameters.
7. Provide excellent customer service and work closely with clients to ensure complete, timely, and error-free case reviews.
8. Oversee complex cases requiring additional review before returning to the client.
9. Serve as an additional QA and clinical review level for cases with quality issues.

Requirements:

Required Education & Experience:

• 3-5 years as a paralegal in a law firm, healthcare firm, or entity processing disputed claims.
• Arbitration experience is strongly preferred.
• Remote work experience is preferred.
• Experience with medical office or hospital claims services is preferred.
• Medical office or healthcare background is a plus.

Required Skills:

• Work with a sense of urgency and meet deadlines.
• Be self-motivated with a drive for performance excellence.
• Excellent written and verbal communication skills.
• Proficiency with various computer programs (experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
• Attention to detail is required.

Note: Dane Street will never conduct interviews via text or request checks for equipment purchases.

About Dane Street:

A fast-paced Inc. 500 company with a high-performance culture, processing over 200,000 insurance claims annually for various clients. We offer customized IME and Peer Review programs to assist in claims management.

Benefits:

Generous PTO, excellent benefits, and a competitive salary. If you thrive in a fast-paced environment and want to make a meaningful impact, apply now.

Additional Details:

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Legal
• Industries: IT Services and IT Consulting