Senior Associate, Attorney
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Job Description
Healthcare revenue attorney managing complex insurance appeals for hospitals and providers. Developing reimbursement strategies and legal correspondence to recover denied claims.
Responsibilities:
- Manage a high-volume caseload of complex administrative appeals for denied healthcare insurance claims
- Draft appeal letters, reconsideration requests, and other legal correspondence to commercial and government payers
- Analyze managed care contracts, provider manuals, medical policies, federal and state regulations, and payer guidelines to develop reimbursement strategies
- Research complex legal, contractual, and regulatory issues affecting healthcare reimbursement
- Partner with clinical review nurses, resolution specialists, and client representatives on appeal strategies
- Identify denial trends, payer behaviors, and emerging reimbursement issues and recommend improvements to recovery outcomes
- Develop client communications, legal analyses, and industry insights on reimbursement trends and regulatory developments
- Maintain productivity and quality standards while managing competing priorities independently in a remote environment
- Ensure compliance with HIPAA, client confidentiality requirements, and applicable federal and state regulations
- Serve as a subject matter expert by sharing knowledge and guiding colleagues
Requirements:
- Juris Doctor (J.D.) degree
- Direct experience in healthcare revenue cycle management
- 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 HIPAA compliance and company policies
Benefits:
- 401(k) with corporate match
- Comprehensive health, dental, and vision insurance
- Flexible schedule
- Paid time off
- Professional development
- Mentorship
- Upward mobility within a thriving company
- Life insurance
- Bar dues reimbursement
- Performance-based bonuses
- 100% remote work
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