Overview
This role supports healthcare providers with legal advocacy focused on insurance claim denials and delays. The position involves working outside a traditional law firm environment to help resolve disputes with insurance carriers and managed care organizations, using analytical skills, contractual knowledge, and persuasive writing—typically without litigation.
Responsibilities
- Represent healthcare providers in administrative appeals for denied insurance claims.
- Develop clear, creative, and effective legal arguments to overturn claim denials.
- Draft compelling, well-researched appeal letters for insurance companies and benefit administrators.
- Use provider manuals and managed care contracts to dispute unjust denials.
- Collaborate with provider representatives and resolution teams to manage 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.).