Job Description

Job Description

Job Description

Company Profile:
Healthcare Legal Solutions, LLC, is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new employees to prove themselves and a great team culture.

Job Description and Tasks:
Ideal candidates will be able to settle a high volume of claims using creative, innovative, and flexible argumentation. We will provide intensive training in writing, legal argumentation, and medical record analysis. From there, thinking outside the box is a must.

Candidates will manage an ample case load of corporate health claims. This involves filing written appeals through administrative appeals processes to resolve problematic (e.g. underpaid or denied) medical claims for payment with governmental and corporate health payers. In this role, you will have the opportunity to work alongside a dynamic team and great clients. We have part-time to full time positions available. The position would be hybrid with the possibility for fully remote work based on performance.

Candidates will be required to perform the following duties:
- Quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers.

- Maintain an expert understanding of Commercial, Governmental, Managed Care, and ERISA regulations regarding payment, coverage, conditions of participation, and other relevant topics.

- Assist legal appeals team in developing new and innovative legal and procedural arguments and tools.

- Oversee drafting of complex contractual appeals and administrative templates for organizational use.

- Administrative duties or projects as assigned by leadership
- Navigate through various computer systems and applications to find information about insurance claims.

- Navigate through unfamiliar jurisdictions and processes in order to appeal and settle claims.

-Follow all HIPAA guidelines

Required Qualifications:
- Law school GPA of 3.0 or higher.
- Must have 3+ years of experience as an attorney.
- Proficiency in Microsoft Office, including Word and Excel, with the ability to quickly learn and operate new computer programs and software.
- Highly attentive to detail and able to handle large amounts of paperwork for a busy office.
- Excellent organizational and time management skills.
- Clear, concise, and logical writing style.
- Able to work independently and efficiently with minimal supervision.

Preferred Qualifications:

- Basic working knowledge of medical terminology and diagnostic procedures.
- Previous coursework and/or work experience in biological sciences or healthcare.

- This is an excellent position for retired and experienced attorneys due to the part time flexible schedule. Starting at $60-75/hour depending on experience and credentials.

Interested candidates should submit a resume with their law school GPAs, as well as a cover letter. Applications without GPAs or a cover letter will not be considered.

Job Tags

Full time, Work experience placement, Remote job, Flexible hours,

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