SSL Attorney 250620 (Remote)

CapitolBridge; Sector Toledo (PR); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company in the medical services sector is seeking a skilled State Specific Law Attorney. This role involves providing legal guidance on state-specific laws, managing complex cases, and ensuring accurate decision-making. Candidates should possess a Juris Doctorate and have significant experience in arbitration within the medical field, along with strong communication and organizational skills.

Benefits

Medical, Dental, and Vision benefits

401(k) with company match

Paid holidays

Paid Vacation Time

Qualifications

• 3+ years of relevant professional experience required.
• Minimum of 3+ years of arbitrating or adjudicating in the medical field.

Responsibilities

• Research state specific law objections and provide guidance.
• Manage highly complex case files and arbitrating payment disputes.
• Communicate determinations in clearly written formats.

Skills

Organizational skills

Interpersonal skills

Communication skills

Education

Juris Doctorate

Tools

SharePoint

Salesforce

Microsoft Office

Job description

About Capitol Bridge
Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews.

Capitol Bridge Inc is seeking a highly skilled and detail-orientedState Specific Law Attorney to join our team. The SSL Attorney will be responsible for researching state specific law objections and provide guidance as to how to respond to those objections. The ideal candidate has a strong understanding of State specific laws and arbitration proceedings.

Location: Remote (preferred location in CST or EST areas)

Pay and Benefits:
Base Rate: $70,000 to $90,000 depending on qualifications.
Medical, Dental, and Vision benefits available
401(k) available with company match
Paid holidays
Paid Vacation Time

Job Responsibilities:

- Research the state specific law objections and provide guidance as to how to respond to those objections
- Create RFI templates as to how to respond to general and state specific objections
- Arbitrating/deciding payment disputes as needed.
- The attorney must remain neutral when analyzing the materials provided.
- Review cases to determine and summarize facts of each case assigned and assess issues involved in the case
- Research issues using state law, state regulations, relevant contract law Review plan contracts and other relevant information.
- Communicate the determination in a clearly written format
- Exercise independent judgment to ensure determination is accurate, well supported and defensible; take appropriate action as required
- Acquire all necessary information involving cases and render final determination based on the information provided by the appellant
- Manage highly complex case files
- Perform other duties as may be assigned by management
- Interpret applicable regulations and policies associated with case to determine recommendation
- Ensure solutions are consistent with organizational objectives

Qualifications & Experience:

- Juris Doctorate preferred
- 3+ years of relevant professional experience required
- Minimum of 3+ years of arbitrating or adjudicating and processing disputes in medical field
- Ability to perform comfortably in a fast-paced, deadline-orientated work environment
- Excellent organizational, interpersonal, written, and communication skills
- Ability to work as a team member, as well as independently
- Work across multiple systems, such as SharePoint, Salesforce, and Microsoft Office products

Reasonable Accommodation
If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

EEO Statement
Capitol Bridge, Inc. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

Texting Notice
We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt-out at that time.