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Complex Denials Consultant - Bar Eligible

Company: VirtualVocations
Location: Hayward
Posted on: October 17, 2024

Job Description:

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



Key Responsibilities

Assist recovery staff in developing legal arguments and tools for appeals
Draft complex appeals and letters to insurance companies based on contractual provisions
Review client contract language and utilize payer-provider manuals to dispute denied claims


Required Qualifications

Law degree from an accredited college or university
Barred in one state or bar eligible within 6 months of graduation
Foundational understanding of Commercial, Governmental, Managed Care, and ERISA regulations
Experience in handling administrative appeals processes
Ability to represent clients during Administrative Law Judge hearings as needed

Keywords: VirtualVocations, Roseville , Complex Denials Consultant - Bar Eligible, Professions , Hayward, California

Click here to apply!

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