Legal Claims Analyst

1 week ago

Plano, TX, United States ERISA Recovery Full time

ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now.

We are searching for a Legal Hospital Claims Analyst - someone who works well in a fast-paced setting. In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented.

Essential responsibilities and duties

  • Conducts legal research and investigation of claims
  • Drafting legal documents
  • Keeping track of changes in legal framework and providing timely updates on these changes
  • Utilizes ERISA law enforcement
  • Utilizes knowledge of health care standards appropriate to specific claim
  • Ability to understand and apply medical reimbursement policies, procedures, and standards
  • Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation
  • Utilize a variety of EHR systems
  • Thrives in a fast-paced environment
  • Collaborates effectively with other team members
  • Ability to adapt to changing needs
  • Consistently applies knowledge relevant to claims
  • Work intensely at a fast-paced rate
  • Ability to communicate effectively with third party administrators
  • Determine the status of medical claims through research
  • Meet the standards of the department and quality standards
  • Strong organizational skills

Desired skills and Qualifications

  • Bachelor's degree
  • 3+ years working in the legal field
  • 2+ years working with healthcare insurance claims (preferred)
  • Strong Communication skills
  • Working knowledge utilizing Microsoft software (Word, Excel, Outlook)
  • Ability to work in a fast-paced environment

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
  • Paid lunches
  • Bonus

ERISA Recovery is an Equal Opportunity Employer

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