Healthcare Claims Specialist

22 hours ago


Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time
Job Overview

Healthcare Legal Solutions LLC is seeking an experienced Healthcare Claims Analyst to join our team in Washington DC. As a Healthcare Claims Analyst, you will play a critical role in assisting with administrative appeals and documentation submitted to health insurers and governmental payers.

About Us

Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new employees to prove themselves and a great team culture.

Job Summary

This is a valuable experience to gain hands-on experience within a boutique law firm specializing in healthcare law. As a Healthcare Claims Analyst, you will work well with attorneys and paralegals, maintain the workload, work under pressure, and be a team player. Our office environment is young, positive, and social, and we hope that claims analysts will contribute to this dynamic.

Key Responsibilities

  • Work within the client's Patient Accounting system, payer portals and/or websites, and will utilize proprietary software to research accounts in the work queue
  • Determine action required to resolve the underpayment and initiate that action, including submitting appeals and reconsideration requests.
  • Utilize increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal's/attorney's pursuit for additional reimbursement
  • Quickly and efficiently prepare, review, and submit well-written claims correspondence and related documents to insurers
  • Be skilled, aggressive, cordial, and professional on the telephone to follow up on submitted appeals.

Requirements

  • BA/BS with a GPA of 3.0 or higher
  • Interest in healthcare and healthcare law.
  • Navigate through various computer systems and applications to find information about insurance claims
  • Ability to prioritize and multi-task
  • Excellent written and verbal communication skills
  • Proficiency in Microsoft Office, including Word and Excel
  • Excellent organizational and time management skills
  • High attention to detail
  • Clear, concise, and logical writing style

Please submit your resume via the 'Apply now' button

We are an Equal Opportunity Employer



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