Attorney Professional
7 days ago
Are you a skilled Attorney looking for a new challenge? We have an exciting opportunity for a Staff/Associate Attorney to join our team
About the Role
This is a unique non-traditional legal role where you will leverage your analytical skills to analyze medical insurance claims, identify issues, and develop innovative arguments to resolve disputes. You will work closely with healthcare providers and managed care organizations to resolve denied claims through administrative appeals.
Your Responsibilities
- Represent healthcare providers in denied claim disputes and shepherd disputes through the administrative appeals process.
- Develop complex and persuasive appeal letters to insurance organizations and benefit administrators.
- Leverage payor provider manuals and managed care contracts to successfully resolve denied medical claims.
- Work directly with provider representatives and enhanced resolution units to resolve complex issues.
- Provide education and training on recovery staff team members at partner provider organizations.
You Will Thrive Here If:
- You have a Juris Doctor degree and State Bar Membership (preferred).
- You possess strong analytical and problem-solving skills.
- You are an excellent written and verbal communicator.
- You can work independently and as part of a team.
- You have attention to detail and can prioritize within a dynamic environment.
What We Offer
- A starting salary range of $55,000-$65,000 per year (commensurate with experience).
- A comprehensive benefits package, including 401(k) with corporate match, dental insurance, employee assistance program, flexible schedule, health insurance, vision insurance, life insurance, paid time off, bar dues reimbursement, and bonus opportunities.
- The opportunity to grow personally and professionally with a dedicated and supportive team experiencing tremendous growth.
Ternium is an equal employment opportunity employer.
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