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Staff Attorney in Boca Raton, FL at Prestige Staffing

Date Posted: 8/8/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    433 Plaza Real
    Boca Raton, FL
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/8/2018

Job Description

JobID: 18840

Prestige Staffing is looking for a Staff Attorney. This is a direct hire position for a remote position anywhere in the USA. This position will operate on Eastern Standard Time and requires high speed internet access as well as a dedicated work space within your home. 

Job Description:

The Staff Attorney is responsible for resolving previously denied third-party payer claims for a variety of hospital providers. This person must be able to multi-task and prioritize as necessary to timely resolve accounts for payment. A Staff Attorney will communicate with payers daily, and must be able to draft appeals and patient correspondence in a professional manner. Staff Attorneys are required to demonstrate proficient use of web-based client and payer portals, along with notation databases. A Staff Attorney needs to have a dedicated work space at home and be a self-motivator and task oriented to work accounts in a professional manner as if they were working in an office with no distractions.

Duties Include:

  • Self-motivate to achieve monthly team revenue goals within virtual business office environment
  • Identify and resolve underlying complex denials to obtain timely payment of claims for clients
  • Respectfully implement client specific protocols and procedures
  • Manage a personal account inventory made up of diverse clients and complex denials
  • Make initial calls on all new accounts, and maintain professional relationships with payer representatives
  • Work new accounts and priority accounts within 48 business hours
  • Use professional notation that is clear, concise, and comprehensive throughout the complex denial resolution process
  • Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts
  • Identify accounts that require substantive review by the coding and utilization review departments
  • Timely prepare and submit appeals with required documentation
  • Ability to review a medical record and substantiate an argument based on medical necessity from the review of the medical record
  • Understand and know how to appeal no authorization denials
  • Proactively communicate questions and concerns to supervisor for resolution
  • Review high dollar and aged accounts as necessary to ensure efficient revenue cycle recovery
  • Communicate recent payer resolution trends with team

Education & Experience:

  • J.D. from an ABA accredited law school
  • Undergraduate degree with major/minor in English, Journalism, or Communications preferred
  • 1 year of experience with Third party denials and appeals writing preferred.

Specialized Knowledge/Skills:

  • Self-Disciplined
  • Organized
  • Detail Oriented
  • Attentive
  • Strong written and oral communication
  • Critical thinking, problem solving and decision making skills essential
  • Ability to multi-task and prioritize needs to meet timelines
  • Experience with Microsoft Word and Excel preferred

Apply today for immediate consideration. 

*CB

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