Insurance Appeal Advocate
3 weeks ago
Job 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 enable you to effectively navigate the complexities of administrative appeal processes.
Key Responsibilities:
- Represent healthcare providers in denied claim disputes.
- Develop and implement effective strategies to resolve denial medical claims.
- Draft and submit comprehensive appeal letters to insurance organizations and benefit administrators.
- Collaborate with provider representatives and enhanced resolution units to resolve complex issues.
- Provide training and education to recovery staff team members at partner provider organizations.
Requirements:
- Juris Doctor degree
- State Bar Membership (preferred)
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
Benefits:
- Full-time remote position
- 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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Insurance Provider Advocate
8 hours ago
Cambridge, Massachusetts, United States Ternium Full timeJob OverviewThe Insurance Provider Advocate plays a critical role in representing healthcare providers in disputes with medical insurance carriers and managed care organizations. This position requires strong analytical and problem-solving skills, excellent communication abilities, and a deep understanding of healthcare laws and regulations.About the...
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Managed Care Insurance Appeal Expert
2 days ago
Cambridge, Massachusetts, United States Ternium Full timeJob DescriptionWe are seeking a highly skilled Managed Care Insurance Appeal Expert to join our team. As a member of our organization, you will work on complex administrative appeal processes and develop innovative legal arguments to resolve denied medical claims.About the RoleThis is a non-traditional legal role that requires strong analytical and...
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Medical Insurance Advocate
3 weeks ago
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Senior Attorney Advocate
3 weeks ago
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Administrative Appeals Attorney
2 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeResponsibilitiesRepresent healthcare providers in denied claim disputes through an administrative appeals process.Develop novel legal and procedural arguments to resolve denial medical claims.Draft complex appeal letters to insurance organizations and benefit administrators.Work directly with provider representatives to resolve complex issues.Provide...
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Administrative Appeals Expert
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Administrative Appeal Consultant
3 weeks ago
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Administrative Appeals Expert
2 days ago
Cambridge, Massachusetts, United States Ternium Full timeJob DescriptionAt Ternium, we are seeking a highly skilled attorney to join our team as a Staff/Associate Attorney. In this role, you will represent healthcare providers in disputes with medical insurance carriers and managed care organizations across the full spectrum of administrative appeal processes.Responsibilities• Analyze and develop innovative...
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Medical Claim Appeal Consultant
6 hours ago
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Commercial Claims Advocate
2 days ago
Cambridge, Massachusetts, United States Ternium Full timeJob Description: Ternium is seeking a highly motivated and experienced Commercial Claims Advocate to join our team. This role will focus on resolving complex commercial claims disputes, leveraging expertise in analytical analysis, issue identification, and persuasive appeal drafting.">Responsibilities:Representing healthcare providers in denied claim...
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Healthcare Attorney Advocate
2 days ago
Cambridge, Massachusetts, United States Ternium, LLC Full time**Job Summary:**We are seeking a highly skilled Healthcare Attorney Advocate to represent healthcare providers in disputes with medical insurance carriers and managed care organizations.As a Staff/Associate Attorney, you will leverage your legal education to analyze claims, identify issues, review contracts, conduct statutory research, and draft persuasive...
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Administrative Appeals Attorney
3 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeWe are looking for a talented Administrative Appeals Attorney to join our team at Ternium. As a member of our team, you will have the opportunity to develop innovative and novel legal and procedural arguments to effectuate positive resolution of denial medical claims.The salary range for this position is $62,000-$72,000 per year, depending on experience. We...
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Administrative Appeals Specialist
2 days ago
Cambridge, Massachusetts, United States Ternium Full timeAbout the RoleAs an Administrative Appeals Specialist at Ternium, you will be responsible for representing healthcare providers in disputes with medical insurance carriers and managed care organizations.Key Responsibilities:Conduct legal research and analysis to support business modelDevelop a foundational understanding of the industry and develop strong...
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Administrative Appeal Specialist
3 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeJob Summary:">We are seeking a skilled Staff/Associate Attorney to join our team at Ternium. As a key member of our staff, you will be responsible for representing healthcare providers in denied claim disputes and developing innovative arguments to resolve these cases.">Key Responsibilities:">">Conduct research and analysis to support business model...
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Managed Care Appeals Counsel
3 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeAbout the Position:We are seeking a highly skilled and motivated Staff/Associate Attorney to join our team at Ternium. As a key member of our healthcare team, you will be responsible for resolving disputes between healthcare providers and medical insurance carriers.Key Responsibilities:Represent healthcare providers in denied claim disputesDevelop innovative...
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Legal Counsel Advocate
2 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeJob OverviewIn this role as a Staff/Associate Attorney at Ternium, you will represent healthcare providers in disputes with medical insurance carriers and managed care organizations. This non-traditional legal position involves leveraging your education to analyze issues, review contracts, conduct research, and draft persuasive appeals.About the...
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Healthcare Claims Advocate
3 weeks 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 Provider Advocate
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Medical Insurance Litigator
2 weeks ago
Cambridge, Massachusetts, United States Ternium Full timeJob DescriptionIn this exciting role as a Staff/Associate Attorney at Ternium, you will have the opportunity to apply your legal skills in a unique and challenging context. You will be working closely with healthcare providers to navigate the complexities of medical insurance claims and appeals. Your strong analytical and problem-solving skills will be...
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Healthcare Provider Advocate
8 hours ago
Cambridge, Massachusetts, United States Ternium Full timeResponsibilitiesRepresent healthcare providers in denied claim disputes through an administrative appeals process (no litigation involved)Develop innovative and novel legal and procedural arguments to effectuate positive resolution of denial medical claimsDraft complex and persuasive appeal letters to insurance organizations and benefit...