Medical Insurance Advocate

16 hours ago


Cambridge, Massachusetts, United States Ternium Full time

About Ternium

Ternium 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 Summary

We are seeking a skilled Staff/Associate Attorney to represent our healthcare providers in disputes with medical insurance carriers and managed care organizations. As a key member of our team, you will leverage your analytical skills to identify issues, conduct research, and develop persuasive appeal letters to resolve denied claims.

Responsibilities

  • Represent healthcare providers in denied claim disputes through an administrative appeals process
  • Develop innovative arguments to effectuate positive resolution of denial medical claims
  • Draft complex and persuasive appeal letters to insurance organizations
  • Leverage payor provider manuals and managed care contracts to resolve denied claims

Requirements

  • Juris Doctor required
  • State Bar Membership (preferred)
  • Strong analytical and problem-solving skills
  • Excellent written and verbal communication skills

Why Join Ternium

Ternium is a dynamic and growing company that values diversity, equity, and inclusion. We offer a comprehensive benefits package, including health insurance, 401(k) matching, and paid time off. If you're passionate about making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity.



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