Healthcare Paralegal Specialist
3 weeks ago
In this exciting new program, you will have the opportunity to apply your organizational skills to review reports accompanying medical records and ensure accuracy in billing information and coding. With a strong background in healthcare and paralegal experience, you will be responsible for evaluating claims, communicating with reviewers and office teams, and ensuring reports are returned within client deadlines.
Key Responsibilities:
- Evaluate and organize medical information to ensure proper adjudication of cases
- Ensure medical records are matched appropriately to documentation
- Participate in training programs, including arbitration training
- Read policy guidelines and determine when criteria are met or not
- Evaluate claims for conflict of interest and appropriateness
- Work within established timeframes set by program parameters
- Provide excellent customer service skills and work closely with clients on a case-by-case basis
- Provide oversight to complex cases requiring additional review
- Serve as an additional level of QA and clinical knowledge/review for cases with quality issues
Requirements:
- 3-5 years of experience as a paralegal in a law firm, healthcare firm, or entity processing disputed claims
- Arbitration experience is strongly preferred
- Experience working remotely is preferred
- Experience with medical office or hospital claims services is preferred
- Medical office or healthcare background a plus
What We Offer:
Dane Street offers a competitive salary range of $65,000 - $85,000 per year, depending on experience. Additionally, we provide a comprehensive benefits package, including generous paid time off and an excellent salary. We are an equal opportunity employer and welcome candidates from diverse backgrounds.
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