Description:

What do we need?
We are seeking an Associate Attorney to join our growing team of professionals. Our Attorneys work in a nontraditional legal role supporting insurance claims denials. Ideal candidates will have strong analytical skills, understand complex insurance contracts, and be able to multitask, reprioritize, and manage a caseload of accounts.

What will you provide?

Appeal wrongfully denied and delayed insurance claims through the insurance carriers' internal appeals process.
Review and utilize medical records and hospital coding requirements to appeal wrongfully denied claims.
Identify chronic payer issues and advise clients on potential remedies.
Utilize hospital contracts to confirm accuracy of claim payments and settlement agreements.
Submit appeals to Independent Review Organizations for external review.
Maintain knowledge of relevant federal regulations and state statutes and their implication on the claims process.
Maintain a working knowledge of assigned clients.

Requirements:

Proficient with Word, Excel, PowerPoint, Outlook, Zoom, Microsoft Teams
Analytical skills and the ability to make appropriate decisions independently
Problem solver with the ability to identify issues, provide feedback and follow-up to resolution
Work independently in a rapidly changed and growth-oriented environment with regularly changing priorities
Prioritize assignments to complete work in a timely manner, adjusting quickly as circumstances dictate
Efficient at handling and prioritizing multiple tasks and projects in a time-sensitive environment
Maintains strict confidentiality of protected medical information and adherence to all HIPAA and Aspirion policies and regulations
Must possess interest in healthcare and medical insurance claims
Desire to work for a corporation utilizing skills acquired in law school and/or through legal experience

Education and Experience: