Overview
This role supports healthcare providers by advocating in disputes related to insurance claim denials and delays. The position is designed for a legal professional who wants to apply analytical skills, contractual expertise, and persuasive writing to drive successful claim resolutions without the stress of litigation.
Responsibilities
- Represent healthcare providers in administrative appeals for denied insurance claims.
- Develop creative and effective legal arguments to overturn claim denials.
- Craft compelling, well-researched appeal letters to insurance companies and benefit administrators.
- Use provider manuals and managed care contracts to dispute unjust denials.
- Work with provider representatives and resolution teams to navigate complex claims.
- Identify industry trends and provide insights to improve 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 strong organizational skills.
- Commitment to upholding HIPAA compliance and company policies.
Compensation & Benefits
- Competitive salary: $55,000–$65,000 per year (commensurate with experience).
- 401(k) with corporate match.
- Comprehensive health, dental, and vision insurance.
- Life insurance.
- Bar dues reimbursement.
- Performance-based bonuses.
- Flexible schedule.
- Unlimited paid time off.
Location
- 100% Remote: work from anywhere in the U.S.
Equal Opportunity
The employer is an equal opportunity employer and is committed to maintaining a supportive, harassment-free work environment. No discrimination is made based on age, race, disability, religion, gender, sexual orientation, gender identity, genetic information, marital status, veteran status, or any other protected characteristic.