Senior Attorney
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Job Description
Senior Attorney advocating for healthcare providers at Ternium, a healthcare revenue cycle solutions company. Handling claim denials, administrative appeals, legal research, and associate mentorship.
Responsibilities:
- Manage associates and help develop their skills in the legal framework of the healthcare revenue cycle environment
- Assist in developing and presenting internal/external training opportunities
- Craft written client and industry feedback
- 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
- Work closely with provider representatives and resolution teams to navigate complex claims
- Identify industry trends and provide valuable insights to enhance recovery strategies
- Conduct legal research and analysis to support business objectives
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 upholding 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
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