Medical Paralegal Specialist
1 week ago
We are seeking a highly skilled and detail-oriented Medical Paralegal to join our team at Progressive Spine & Orthopaedics, LLC. As a Medical Paralegal, you will play a critical role in supporting our medical professionals with legal issues that arise during treatment care, submitting claims, and appealing underpaid and/or denied claims on behalf of out-of-network providers.
Key Responsibilities:- Follow up on submitted medical bills, including major med, PIP/MVA, and WC claims.
- Draft appeal letters on behalf of providers and patients to overturn insurance denials/underpayments and reduce patient responsibility.
- Answer phones and handle inquiries from patients, attorneys, insurance adjusters, and other stakeholders.
- Communicate directly with patient attorneys to resolve outstanding balances, including negotiating settlements.
- Prepare reports on case status, including details about pending cases, status updates, and any issues that may have arisen.
- Review medical records to ensure they are complete and accurate.
- Research case law, medical literature, and other sources to identify relevant precedents or gather facts relevant to a case.
- Coordinate with others working on the case to gather needed information for further processing.
- Collect information from medical experts or other sources regarding cases involving complex medical issues.
- Organize files and maintain case documentation.
- Perform other related duties as assigned by management.
- Associate degree in paralegal studies, legal studies, or a related field.
- 2+ years of experience as a medical paralegal or in a related role.
- Preferred paralegal certificate and pass the Paralegal Certification Examination provided by the American Bar Association.
- Strong understanding of medical terminology.
- Excellent research skills.
- Exceptional organizational skills.
- Ability to handle confidential information with discretion.
- Experience working in a law firm or medical office.
- Knowledge of state and federal laws governing healthcare.
- Familiarity with electronic medical records systems.
- Proficiency in Microsoft Office, Adobe Acrobat, and medical billing software.
- Must be well organized and detail oriented.
- Competitive salary and benefits package.
- Health, dental, and vision insurance.
- Retirement savings plan.
- Paid time off and holidays.
- Opportunities for professional development and growth.
- Collaborative supportive work environment.
We are committed to maintaining a safe and drug-free workplace. As part of our hiring process, all candidates who receive a job offer will be required to undergo a pre-employment drug test and background check. These steps are essential to ensure the safety and well-being of our employees and patients.
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Medical Paralegal Specialist
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