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Remote Entry Level Staff Attorney or Staff Associate (Healthcare)
|Company:||Convergent||Location:||Boca Raton, Florida, United States|
|Posted:||Wednesday, October 3, 2018|
Convergent Revenue Cycle Management Inc.
Entry level Staff Attorney or Staff Associate (Healthcare)
Remote position reporting to Boca Raton, FL Location
Full Time Position: 40+ hours per week
Convergent’s Boca Raton FL Insurance Department has an opening for a remote Staff Attorney or Staff Associate. This is an ideal opportunity for a professional looking for in office or remote work as the successful candidate can work anywhere in the country and report to our Boca Raton, Florida office.
Convergent employs a dedicated team of expert Healthcare Attorneys, and Account Specialists and Clinicians who navigate the entanglements of the legal system to increase reimbursement rates for our client hospitals all over the country. We apply our advanced technology to calculate anticipated payment for claims in states with complex fee schedules, allowing us to accurately identify and appeal underpaid or denied claims. Our main goal is to assist hospital systems to strengthen their financial and clinical performance. We are also a leading provider of appeals solutions, denial management, and Workers' Compensation claims resolution
Staff Attorneys and Staff Associates work a caseload of accounts and report directly to a Supervising Attorney or Supervisor. You will be responsible for contacting various insurance companies such as Aetna, Blue Cross, Cigna, verbally and in writing to appeal wrongfully denied or underpaid insurance claims. You will assess various payer contracts to validate payments received and appeal denied, underpaid or wrongfully delayed claims. Staff Attorneys and Staff Associates perform appropriate follow up with insurance companies and provide clear and concise documentation of actions taken on each case. You will utilize contracts between hospitals and insurance companies, federal and state laws and statutes to formulate appeals, participate in settlement negotiations, identify client issues and address them appropriately, and maintain a working knowledge of assigned clients, states, and insurers. You will review medical records for each case and draft appeals to insurance companies with supporting facts to get denials overturned and reimbursement issued in a prompt manner to client hospitals. You will also submit claims when necessary to carriers and confirm receipt, as well as perform other related duties as required
- JD required
- Healthcare experience a plus
- Phone experience a plus
- Strong analytical, problem-solving, and conflict resolution skills required
- Excellent oral and written communication skills
- Ability to communicate clearly and work effectively with co-workers
- Must be able to read, review and analyze reimbursement contracts from managed care insurance
- Proficient in MS Word, Excel, and Outlook
- Regular attendance is required
Hiring is contingent upon successful background check and drug screening.
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