Medical Law Specialist
4 weeks ago
Revenue Cycle Management Expertise
Ternium is a leading provider of premium, professional revenue cycle management services, resolving challenging healthcare insurance claim denials and delays to positive resolution for our partners.
Our mission is to be the trusted partner of health systems and hospitals in their most complex revenue cycle areas, allowing them to focus on patient care.
With our professional and experienced staff, we scale our operating model to meet our partners' needs, driving superior results in net patient revenue and cash flows while reducing operating costs and improving the patient experience.
Key Responsibilities
- Represent healthcare providers in disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes.
- Leverage your legal education in analytical analysis and issue identification, contract reviews, statutory research and application, and persuasive appeal drafting.
- Develop a foundational understanding of the industry and strong aptitudes in 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.
- Represent healthcare providers in denied claim disputes, primarily shepherding disputes through an administrative appeals process (no litigation involved).
- Develop innovative and novel legal and procedural arguments to effectuate positive resolution of denial medical claims.
- Leverage payor provider manuals and managed care contracts to successfully resolve denied medical claims.
- Work directly with provider representatives and enhanced resolution units to successfully resolve complex issues.
- Provide education, payor trends, denial trends, and training of recovery staff team members at partner provider organizations.
- Conduct legal research and analysis to support business model.
Requirements
- Ability to adhere to all HIPAA and company policies and regulations.
- Full-time.
- Remote.
- Dental insurance.
- Employee assistance program.
- Flexible schedule.
- Bar Due reimbursement.
- Ternium's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
-
Medical Care Specialist
4 weeks ago
St Louis, Missouri, United States Select Medical Full timeSelect Medical offers an exciting opportunity for a Medical Care Specialist to join our team at Select Specialty Hospital - Town and Country. As a Medical Care Specialist, you will play a vital role in providing exceptional patient care experience that promotes healing and recovery in a compassionate environment.Company Overview:Select Medical is a leading...
-
Medical Care Specialist
1 month ago
St Louis, Missouri, United States OneStaff Medical Full timeJob Opportunity:We are seeking a dedicated and compassionate Medical Care Specialist to join our team at OneStaff Medical. As a Medical Care Specialist, you will play a vital role in providing high-quality patient care and support to individuals with medical problems in the blood vessels, heart, and lungs.Responsibilities:• Assist patients with medical...
-
Medical Care Specialist
4 weeks ago
St Louis, Missouri, United States OneStaff Medical Full timeTHE ROLE:As a Medical Care Specialist with OneStaff Medical, you will be responsible for assisting patients with medical problems related to the blood vessels, heart, and lungs. This will involve interviewing and examining patients with breathing or cardiopulmonary disorders, as well as providing emergency care to patients suffering from heart attacks,...
-
Medication Care Specialist
4 weeks ago
St Louis, Missouri, United States Sunrise Senior Living Full timeJob Title: Medication Care SpecialistSunrise Senior Living is a leading provider of senior care services, and we are seeking a highly skilled Medication Care Specialist to join our team.Job Summary:The Medication Care Specialist is responsible for providing high-quality medication management services to our residents. This includes administering medications,...
-
Medical Scribe Specialist
4 weeks ago
St Louis, Missouri, United States Insight Global Full timeJob Title: Medical Scribe SpecialistJob Summary:We are seeking a skilled Medical Scribe Specialist to join our team at Insight Global. As a Medical Scribe Specialist, you will be responsible for transcribing information during clinical visits in real-time into electronic health records (EHRs). This is a fantastic opportunity to work in a dynamic and...
-
Medical Scribe Specialist
3 weeks ago
St Louis, Missouri, United States Insight Global Full timeJob Title: Medical Scribe SpecialistJob Description:We are seeking a highly skilled Medical Scribe Specialist to join our team at Insight Global. As a Medical Scribe Specialist, you will be responsible for transcribing information during clinical visits in real-time into electronic health records (EHRs). This is a great opportunity to work in a fast-paced...
-
Medical Scribe Specialist
3 weeks ago
St Louis, Missouri, United States Insight Global Healthcare Full timeJob Title: Medical Scribe SpecialistJob Summary:We are seeking a skilled Medical Scribe Specialist to join our team at Insight Global Healthcare. As a Medical Scribe Specialist, you will be responsible for transcribing information during clinical visits in real-time into electronic health records (EHRs).Key Responsibilities:Transcribe clinical information...
-
Medical Support Specialist
4 weeks ago
St Louis, Missouri, United States Concentra Full timeJob Summary: We are seeking a highly skilled Medical Support Specialist to join our team at Concentra. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and supporting our clinical team.Key Responsibilities:Perform routine medical and testing procedures under direct supervision of the treating clinician.Support...
-
Medical Support Specialist
3 weeks ago
St Louis, Missouri, United States Actalent Full timeJob Summary:Certified Medical Assistants play a vital role in ensuring the smooth operation of our healthcare facilities. As a Medical Support Specialist, you will be responsible for monitoring supply inventory, ensuring adequate supplies, equipment, or garments are available and that they comply with regulations.Key Responsibilities:Clean and stock exam...
-
Medical Imaging Specialist
5 days ago
St Louis, Missouri, United States SSM Health Full timeAbout the OpportunityAt SSM Health, we're committed to providing exceptional care and service to our patients. As a Medical Imaging Specialist in our Radiology Department, you'll play a critical role in helping us achieve this goal.About the RoleWe're seeking a highly skilled and detail-oriented Medical Imaging Specialist to join our team. In this role,...
-
Medical Informatics Specialist
4 weeks ago
St Louis, Missouri, United States Rezilient Health Full timeWe're seeking a skilled IT professional to join our team at Rezilient Health as a Medical Informatics Specialist. In this role, you'll oversee the technology that powers our innovative CloudClinics, ensuring seamless collaboration between remote physicians and onsite medics.As a key member of our IT team, you'll be responsible for managing and maintaining...
-
Medical Aesthetic Specialist
4 weeks ago
St Louis, Missouri, United States CPP Full timeMedical Aesthetic Specialist OpportunityCPP Clinics, a leading provider of medical aesthetics services, is seeking a highly skilled Medical Aesthetic Specialist to join their team at Aestheticare St. Louis. As a key member of our experienced team, you will be responsible for delivering exceptional patient experiences and outstanding results.Key...
-
Medical Support Specialist
4 weeks ago
St Louis, Missouri, United States St. Luke's Hospital (MO) Full timeAt St. Lukes Hospital, we are dedicated to delivering exceptional patient care. Our team is committed to providing a supportive and collaborative environment that fosters growth and development.Job Summary:We are seeking a highly skilled Medical Support Specialist to join our team. As a Medical Support Specialist, you will be responsible for performing...
-
Medical-Surgical Nurse Specialist
4 weeks ago
St Louis, Missouri, United States Cynet Health Full timeJob Title: Medical-Surgical Nurse SpecialistJob Summary:We are seeking a skilled Medical-Surgical Nurse Specialist to join our team at Cynet Health. As a Medical-Surgical Nurse Specialist, you will be responsible for providing high-quality patient care in a dynamic and supportive environment. Key Responsibilities:- Manage patients with a wide range of...
-
Diagnostic Imaging Specialist
4 weeks ago
St Louis, Missouri, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistJob Summary:OneStaff Medical is seeking a skilled Diagnostic Imaging Specialist to join their team for a travel assignment in a dynamic healthcare setting. As a Diagnostic Imaging Specialist, you will be responsible for operating imaging equipment, preparing patients for procedures, and maintaining a safe and efficient...
-
Diagnostic Imaging Specialist
4 weeks ago
St Louis, Missouri, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistJob Summary:OneStaff Medical is seeking a skilled Diagnostic Imaging Specialist to join their team. As a Diagnostic Imaging Specialist, you will be responsible for operating imaging equipment to produce high-quality diagnostic images. This is a travel assignment in St. Louis, Missouri, with a duration of 13 weeks and...
-
Medical Office Assistant
4 weeks ago
St Louis, Missouri, United States Demo - Maximus Full timeClinic Support Specialists play a vital role in the Veterans Evaluation Services (VES) team, providing exceptional support to providers and veterans on exam days. Their primary responsibilities include general problem-solving, updating case statuses, and ensuring a smooth experience for all parties involved.Candidates must possess a caring, positive, and...
-
Cardiac Catheterization Specialist
4 weeks ago
St Louis, Missouri, United States OneStaff Medical Full timeJob Title: Cardiac Catheterization SpecialistJob Description:OneStaff Medical is seeking a skilled Cardiac Catheterization Specialist to work in a Cardiac Cath Lab setting. As a Cardiac Cath Lab Nurse, you will assist doctors performing cardiac catheterization procedures. This is a unique opportunity to work with the latest technology in cardiac care and...
-
Diagnostic Imaging Specialist
1 month ago
St Louis, Missouri, United States OneStaff Medical Full timeJob Title: Diagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team at OneStaff Medical. As a Diagnostic Imaging Specialist, you will be responsible for operating imaging equipment to produce high-quality diagnostic images. This is a travel opportunity that will allow you to work in a new location and gain valuable...
-
Medical Assistant
4 weeks ago
St Louis, Missouri, United States PALM Health Full timePALM Health Medical Assistant / Patient Care SpecialistWe are seeking a highly skilled Medical Assistant / Patient Care Specialist to join our team at PALM Health. As a Medical Assistant / Patient Care Specialist, you will be responsible for providing exceptional patient care and support to our medical team.Key Responsibilities:Monitor medical providers'...