Healthcare Provider Representative

1 day ago


Cambridge, Massachusetts, United States Ternium Full time

As a Staff/Associate Attorney at Ternium, you will play a key role in representing healthcare providers in disputes with medical insurance carriers and managed care organizations. This is a unique legal position where you will leverage your analytical skills to identify issues, review contracts, conduct statutory research, and draft persuasive appeals. You will gain a deep understanding of the industry and develop expertise in Commercial and Managed Care Insurance Claims policies and procedures, as well as ERISA regulations related to administrative claim processing.

Responsibilities
  • Represent healthcare providers in denied claim disputes, navigating the administrative appeals process without litigation.
  • Draft innovative arguments to achieve positive resolution of denial claims.
  • Work directly with provider representatives and enhanced resolution units to resolve complex issues.
Requirements
  • Juris Doctor required
  • State Bar Membership (preferred)
  • Strong analytical and problem-solving skills

We offer a competitive salary range of $55,000-$65,000 per year, commensurate with experience. Additional benefits include 401(k) with corporate match, dental insurance, employee assistance program, flexible schedule, health insurance, vision insurance, life insurance, paid time off, bar dues reimbursement, and bonus opportunities. We value diversity and are dedicated to creating an inclusive workplace that reflects the principles of equal employment opportunity.



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