Insurance Claims Specialist
5 days ago
Insurance Claims Specialist
About the Role:We are seeking an experienced Insurance Claims Specialist to join our team at Ternium. As a key member of our healthcare team, you will be responsible for representing our clients in disputes with medical insurance carriers and managed care organizations.
Responsibilities:- Represent clients in denied claim disputes through an administrative appeals process
- 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
- Juris Doctor required
- State Bar Membership (preferred)
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Full-time position with competitive salary: $55,000-$65,000 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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