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Complex Denials Consultant - Bar Eligible

VirtualVocations
Garland, Texas, 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

5 days ago
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