Healthcare Insurance Claims Specialist
17 hours ago
At Ternium, we are seeking a skilled Healthcare Insurance Claims Specialist to join our team. This is an exciting opportunity to leverage your legal education in a non-traditional legal role.
The estimated salary for this position is $60,000-$70,000 per year, commensurate with experience. Benefits include full-time remote work, 401(k) with corporate match, dental insurance, employee assistance program, flexible schedule, health insurance, vision insurance, life insurance, paid time off, and bar due reimbursement.
In this role, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes. You will develop a foundational understanding of the industry and develop strong aptitudes in the areas of Commercial and Managed Care Insurance Claims policies and procedures, and ERISA regulations as it relates to administrative processing of claims, claim payment, coverage determinations, dispute resolution, and other relevant concerns.
You will be responsible for representing healthcare providers in denied claim disputes, primarily shepherding disputes through an administrative appeals process (no litigation involved). You will also draft complex and persuasive appeal letters to insurance organizations and benefit administrators, leveraging payor provider manuals and managed care contracts to successfully resolve denied medical claims.
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Medical Claims Specialist
2 days ago
Cambridge, Massachusetts, United States Prestige Utilization Management & Billing Solutions, LLC Full timeMedical Claims SpecialistEstimated Salary: $65,000 - $85,000 per yearPrestige Utilization Management & Billing Solutions, LLC is seeking an experienced Medical Claims Specialist to join our team. As a key member of our healthcare billing team, you will be responsible for reviewing and processing medical claims, ensuring accurate billing practices, and...
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Insurance Claim Resolution Specialist
4 hours ago
Cambridge, Massachusetts, United States Ternium Full timeWhy Work for Ternium:We offer a comprehensive benefits package, including a competitive starting salary, 401(k) with corporate match, dental insurance, employee assistance program, flexible schedule, health insurance, vision insurance, life insurance, paid time off, and bonus opportunities. Our team is passionate about making a difference in the lives of our...
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Commercial Insurance Claims Analyst
18 hours ago
Cambridge, Massachusetts, United States Ternium Full timeJob Description: We are seeking a highly motivated Commercial Insurance Claims Analyst to join our team at Ternium. As a key member of our team, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations, leveraging your knowledge of commercial and managed care insurance claims policies and...
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EDI Claims Specialist
7 days ago
Cambridge, Massachusetts, United States HENO Full time**Job Description:**As a EDI Claims Specialist at HENO, you will play a critical role in ensuring seamless EDI claims and ERA configurations through clearinghouse and payer portals. Your expertise will help us maintain accurate and up-to-date enrollment records, ensuring compliance with HIPAA guidelines.Responsibilities:Manage EDI claims and ERA...
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Insurance Dispute Resolution Specialist
4 hours ago
Cambridge, Massachusetts, United States Ternium Full timeJob Title: Insurance Dispute Resolution SpecialistWe are looking for an experienced Insurance Dispute Resolution Specialist to join our team at Ternium. As an Insurance Dispute Resolution Specialist, you will leverage your legal education in a variety of ways to resolve denied medical claims.Responsibilities:Represent healthcare providers in denied claim...
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Healthcare Dispute Resolution Specialist
20 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAt Ternium, we are seeking a skilled Healthcare Dispute Resolution Specialist to represent our healthcare provider partners in their disputes with medical insurance carriers and managed care organizations. As a key member of our team, you will leverage your analytical skills and knowledge of the industry to resolve denied claims and develop innovative legal...
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Managed Care Insurance Claims Analyst
19 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout Our Company:">Ternium is a dedicated and supportive team that provides a workplace free from harassment based on protected categories. We believe in the importance of equal employment opportunity and strive to create a positive work environment for our employees.">Job Description:">As a Staff/Associate Attorney at Ternium, you will represent healthcare...
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Healthcare Claims Advocate
3 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout the RoleThis is a unique opportunity for a talented lawyer to apply their skills in a non-traditional setting. As a Staff/Associate Attorney at Ternium, you will be working closely with healthcare providers to resolve disputes with medical insurance carriers and managed care organizations. You will leverage your analytical skills to identify issues and...
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Healthcare Attorney Specialist
6 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout 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...
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Attorney for Medical Insurance Claims
3 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout the PositionWe are seeking an experienced attorney to join our team as a Staff/Associate Attorney. The ideal candidate will have strong analytical and problem-solving skills, excellent written and verbal communication skills, and the ability to work independently and as part of a team. As a Staff/Associate Attorney, you will develop a foundational...
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Medical Insurance Advocate
16 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout TerniumTernium is a leading healthcare provider dedicated to delivering exceptional patient care and innovative solutions. Our team of professionals is passionate about making a difference in the lives of our patients and partners.Job SummaryWe are seeking a skilled Staff/Associate Attorney to represent our healthcare providers in disputes with medical...
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Insurance Appeal Advocate
18 hours ago
Cambridge, Massachusetts, United States Ternium Full timeJob Description: We are looking for a skilled Insurance Appeal Advocate to join our team at Ternium. As an Insurance Appeal Advocate, you will be responsible for developing and implementing strategies to resolve denied medical claims. Your expertise in commercial and managed care insurance claims policies and procedures, as well as ERISA regulations, will...
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Healthcare Provider Representative
20 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAs 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...
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Healthcare Provider Advocate
4 hours ago
Cambridge, Massachusetts, United States Ternium Full timeOverview:Ternium is seeking a highly skilled Managed Care Attorney Advisor to join our team. As a Staff/Associate Attorney, you will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes.This is a non-traditional legal role whereby you will...
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Medical Reimbursement Specialist
3 weeks ago
Cambridge, Massachusetts, United States Randstad Full time**Overview of the Position**Randstad is a world leader in matching great people with great companies. We are currently seeking a highly skilled Medical Reimbursement Specialist to join our team.Salary: The estimated salary for this position is $36.25-$36.26 per hour.Job DescriptionThe Medical Reimbursement Specialist will be responsible for assisting with...
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Medical Claims Analyst
4 hours ago
Cambridge, Massachusetts, United States Ternium Full timeCompany OverviewTernium is a leading provider of administrative appeals services for healthcare providers. Our team works closely with clients to navigate the complexities of denied claims and develop innovative solutions to effectuate positive resolutions.
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Healthcare Attorney
20 hours ago
Cambridge, Massachusetts, United States Ternium Full timeJob Description:">As a Staff/Associate Attorney at Ternium, you will play a critical role in representing healthcare providers in their disputes with medical insurance carriers and managed care organizations. This non-traditional legal role requires leveraging your legal education to analyze complex issues, conduct research, and draft persuasive appeal...
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Healthcare Law Associate
19 hours ago
Cambridge, Massachusetts, United States Ternium Full timeResponsibilitiesRepresent healthcare providers in denied claim disputes through an administrative appeals process.Draft complex and persuasive appeal letters to insurance organizations and benefit administrators.Leverage payor provider manuals and managed care contracts to resolve denied medical claims.Our company offers a dynamic environment where you can...
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Healthcare Dispute Resolution Attorney
17 hours ago
Cambridge, Massachusetts, United States Ternium Full timeAbout the Job:As a Staff/Associate Attorney at Ternium, you will play a critical role in resolving disputes between healthcare providers and medical insurance carriers. This is a unique opportunity to leverage your legal education in a variety of ways, including analytical analysis, contract reviews, and persuasive appeal drafting.Key...
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Healthcare Radiology Specialist
2 weeks ago
Cambridge, Massachusetts, United States AHS Staffing Full timeAHS Staffing: Cambridge, Massachusetts Job OpportunityWe are seeking a skilled Healthcare Radiology Specialist for a travel assignment in Cambridge, Massachusetts. This 13-week contract offers an attractive compensation package and the opportunity to work with a leading healthcare staffing agency.About the Assignment:Job Title: Healthcare Radiology...