Note: The job is a remote job and is open to candidates in USA. Ternium is a leading advocate in healthcare revenue solutions, specializing in resolving complex healthcare insurance claim denials. They are seeking an Associate Attorney to advocate for healthcare providers in disputes with insurance carriers and managed care organizations, utilizing analytical skills and legal expertise to drive successful claim resolutions.
Responsibilities
- 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
Skills
- 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 organizational prowess
- Commitment to upholding HIPAA compliance and company policies
Benefits
- 401(k) with corporate match
- Comprehensive health, dental, and vision insurance
- Flexible schedule and unlimited paid time off
- Access to professional development, mentorship, and upward mobility within a thriving company
- Life insurance
- Bar dues reimbursement
- Performance-based bonuses
Company Overview
At Ternium, we specialize in resolving complex healthcare insurance claim denials and delays. It was founded in undefined, and is headquartered in Chapel Hill, North Carolina, US, with a workforce of 51-200 employees. Its website is https://terniumrcm.com/.