Complex Denials Consultant - Bar Eligible

VirtualVocations
Darnestown, Maryland, United States
Full-time

A company is looking for a Complex Denial Consultant (Attorney) to represent healthcare providers in disputes with medical insurance carriers.

Key ResponsibilitiesAssist recovery staff in developing legal arguments and tools for appealsDraft complex appeals and letters to insurance companies based on contractual provisionsReview client contract language and utilize payer-provider manuals to dispute denied claimsRequired QualificationsLaw degree from an accredited college or universityBarred in one state or bar eligible within 6 months of graduationFoundational understanding of Commercial, Governmental, Managed Care, and ERISA regulationsExperience in handling administrative appeals processesAbility to represent clients during Administrative Law Judge hearings as needed

10 days ago
Related jobs
Promoted
VirtualVocations
Darnestown, Maryland

A company is looking for a Complex Denial Consultant (Attorney) to represent healthcare providers in disputes with medical insurance carriers. ...

Promoted
VirtualVocations
Darnestown, Maryland

A company is looking for a Healthcare Business Analyst. ...

Promoted
Banditos Tacos & Tequila
Calvert, MD, US

Minimum 3 years of General Manager/Operating Partner experience in a high-volume full-service restaurant environment. Banditos restaurant team! The Operating Partner is the restaurants highest front-line manager, and has final say on all day-to-day operations within their store. ...

Promoted
Residential One LLC
Damascus, Maryland

Under the daily direction of the Assistant Property Manager (if applicable) or Property Manager, the Leasing Consultant is responsible for the leasing, marketing and maintaining positive resident relations of multi-family residential apartments. Leasing Consultant *Affordable Housing Experience Requ...

Promoted
DARCARS Automotive Group
Silver Spring, Maryland

The Car Sales Consultant will interact directly with customers in person and virtually, other Sales Consultants, Sales Managers, Finance Managers, and the General Manager of the dealership. Previous sales experience preferred but not required. Correctly computes and quotes sales price. ...

Promoted
Synergy Enterprises, Inc.
North Bethesda, Maryland

In collaboration with the Project Director, the Project Manager ensures the efficient implementation of all regulatory, compliance, and coordination efforts for the 21st Century Community Learning Centers (21st CCLC) National Technical Assistance Center (NTAC) cooperative agreement; that includes pa...

Promoted
Comstock Companies
Rockville, Maryland

Comstock is looking for an experienced Leasing Consultant to join the team! Our company, a renowned developer of high-quality, sustainable, mixed-use, and transit-oriented communities is seeking a Leasing Consultant for our luxury, high-rise apartments in Rockville, MD. This is an incredible opportu...

Promoted
NSG - Real Estate & Construction (Noor Staffing Group)
Rockville, Maryland

One of the Mid-Atlantic's leading contractors who has completed thousands of commercial, Government, and institutional projects across Washington, DC, and the surrounding areas is seeking a talented Assistant Project Manager. Working knowledge of construction project management software (Procore and...

Promoted
Montgomery Housing Partnership (MHP)
Silver Spring, Maryland

The Senior Project Manager ensures the long-term viability of residential developments by managing all aspects of development, including structuring complex financing, hiring and managing consultants, and overseeing projects through renovation or new construction, including managing budgets. The Sen...

Promoted
Golds Gym DC Metro Area
Olney, Maryland

Manage, monitor and evaluate the performance of all gym-related managers. ...