Healthcare Attorney Specialist
3 weeks ago
About the Role: We are seeking a talented Healthcare Attorney Specialist to join our team at Ternium. In this role, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations. Your expertise in contract reviews, statutory research, and persuasive appeal drafting will enable you to effectively navigate the complexities of administrative appeal processes.
Key Responsibilities:
- Represent healthcare providers in denied claim disputes.
- Develop and implement effective strategies to resolve denial medical claims.
- Draft and submit comprehensive appeal letters to insurance organizations and benefit administrators.
- Collaborate with provider representatives and enhanced resolution units to resolve complex issues.
- Provide training and education to recovery staff team members at partner provider organizations.
Essential Qualifications:
- Juris Doctor degree
- State Bar Membership (preferred)
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
What We Offer:
- Competitive starting salary $55,000-$65,000 per year (commensurate with experience)
- Flexible schedule
- Full-time remote position
- 401(k) with corporate match
- Dental insurance
- Employee assistance program
- Health insurance
- Vision insurance
- Life insurance
- Paid time off
- Bar Due reimbursement
- Bonus opportunities
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