Salary
💰 $55,000 - $65,000 per year
About the role
- Advocate for healthcare providers in disputes with insurance carriers and managed care organizations.
- Represent healthcare providers in administrative appeals for denied insurance claims.
- Develop creative and effective legal arguments to overturn claim denials.
- Craft compelling and well-researched appeal letters to insurance companies and benefit administrators.
- Utilize provider manuals and managed care contracts to dispute unjust denials.
- Collaborate with provider representatives and resolution teams to navigate complex claims.
- Identify industry trends and provide insights to enhance recovery strategies.
- Conduct legal research and analysis to support business objectives.
Requirements
- Juris Doctor (J.D.) degree.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication abilities.
- Ability to work independently while collaborating with a supportive team.
- Meticulous attention to detail and organizational prowess.
- Commitment to upholding HIPAA compliance and company policies.