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A leading non-profit organization is seeking a Staff/Associate Attorney to represent healthcare providers in disputes with insurance carriers. This role involves drafting appeals, conducting research, and leveraging legal education to resolve denied claims. Ideal candidates will have a Juris Doctor and strong analytical skills, thriving in a collaborative environment focused on equal opportunity.
3 days ago Be among the first 25 applicants
As a Staff/Associate Attorney, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes. This is a non-traditional legal role whereby you will leverage your legal education in a variety of ways, to include analytical analysis and issue identification, contract reviews, statutory research and application, and persuasive appeal drafting. You will develop a foundational understanding of the industry and develop strong aptitudes in the areas of Commercial and Managed Care Insurance Claims policies and procedures, and ERISA regulations as it relates to administrative processing of claims, claim payment, coverage determinations, dispute resolution, and other relevant concerns.ResponsibilitiesRepresent healthcare providers in denied claim disputes, primarily shepherding disputes through an administrative appeals process (no litigation involved).Develop innovative and novel legal and procedural arguments to effectuate positive resolution of denial medical claims.Draft complex and persuasive appeal letters to insurance organizations and benefit administrators.Leverage payor provider manuals and managed care contracts to successfully resolve denied medical claims.Work directly with provider representatives and enhanced resolution units to successfully resolve complex issues.Provide education, payor trends, denial trends, and training of recovery staff team members at partner provider organizations.Conduct legal research and analysis to support business model.RequirementsJuris Doctor requiredState Bar Membership (preferred)Strong analytical and problem-solving skillsExcellent written and verbal communication skillsAbility to work independently and as part of a teamAttention to detail and the ability to prioritize within a dynamic environmentAbility to adhere to all HIPAA and company policies and regulationsBenefitsFull-timeRemoteStarting salary $55,000-$65,000 per year (commensurate with experience)401(k) with corporate matchDental insuranceEmployee assistance programFlexible scheduleHealth insuranceVision insuranceLife insurancePaid time offBar Due reimbursementBonus opportunitiesThe opportunity to grow personally and professionally with a dedicated and supportive team experiencing a tremendous growthCompany is dedicated to the fundamentals of equal employment opportunity. The Companys employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any persons age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
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