Healthcare Attorney

3 weeks ago


Cambridge, Massachusetts, United States Ternium Full time

Job Description:

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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 letters.

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Responsibilities:

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  • ">
  • Represent healthcare providers in denied claim disputes through an administrative appeals process.">
  • Develop innovative arguments to resolve denial medical claims.">
  • Draft complex appeal letters to insurance organizations and benefit administrators.">
  • Leverage payor provider manuals and managed care contracts to resolve denied medical claims.">
  • Work directly with provider representatives and enhanced resolution units to resolve complex issues.">
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Requirements:

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  • Juris Doctor required.">
  • State Bar Membership (preferred).">
  • Strong analytical and problem-solving skills.">
  • Excellent written and verbal communication skills.">
  • Ability to work independently and as part of a team.">
  • Attention to detail and prioritization within a dynamic environment.">
  • Able to adhere to all HIPAA and company policies and regulations.">
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Benefits:

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  • Full-time Remote Opportunity.">
  • Starting salary $55,000-$65,000 per year (commensurate with experience).">
  • 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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About Us:

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Ternium is dedicated to the fundamentals of equal employment opportunity. We provide a workplace free from harassment based on protected categories and offer competitive benefits for our employees.


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