Managed Care Appeals Counsel

1 day ago


Cambridge, Massachusetts, United States Ternium Full time
About the Position:

We are seeking a highly skilled and motivated Staff/Associate Attorney to join our team at Ternium. As a key member of our healthcare team, you will be responsible for resolving disputes between healthcare providers and medical insurance carriers.

Key Responsibilities:
  • Represent healthcare providers in denied claim disputes
  • Develop innovative arguments to effectuate positive resolution of denial medical claims
  • Draft complex appeal letters to insurance organizations and benefit administrators
  • 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
  • Excellent written and verbal communication skills
Benefits:
  • Full-time position with competitive salary: $62,000-$72,000 per year
  • Remote work opportunities
  • 401(k) with corporate match
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Health insurance
  • Vision insurance
  • Life insurance
  • Paid time off
  • Bar Due reimbursement
  • Bonus opportunities


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