JD / Law Clerk / Paralegal / Medical Claims / Work from Home (NYS residency required)

Job Description

Job Ttitle: JD / Law Clerk / Paralegal / Medical Claims / Work from Home (NYS residency required)

Company: Med-Scribe


Description: For over 35 years, Med-Scribe, Inc. has been a trusted staffing partner in the healthcare industry, connecting talented professionals with rewarding opportunities. As a small, community-focused agency, we are dedicated to finding the perfect match between exceptional candidates and outstanding career paths.We are seeking detail-oriented and knowledgeable professionals to join a dynamic organization, specializing in processing appeals for medical claims. This role is crucial in ensuring fair and timely resolutions, intersecting the fields of insurance, law, and healthcare. This is a temp-to-hire position, with the expectation of permanent employment within 3-6 months.Ideal Background/Experience:

• Healthcare law, arbitration, mediation, dispute resolution, or claims adjudication in healthcare

Key Responsibilities:

• Render payment determinations on disputes between healthcare providers and health plans.
• Serve as a subject matter expert for complex appeals and hearing cases.
• Evaluate data to ensure compliance or make exceptions to regulations/policies.
• Provide resolution to customer complaints as needed.
• Attend hearings or meetings to discuss cases.
• Perform additional related duties as assigned.

Position Details:

• Hours: Monday to Friday, 8 AM – 5 PM
• Salary: $25/hr

Minimum Qualifications:

• Bachelor’s degree required.
• Law degree, paralegal certification, or registered nurse credential strongly preferred.
• Minimum of 5 years of experience in payment determinations preferred. Certifications may be considered in lieu of experience.
• Strong analytical and critical thinking skills.
• Excellent communication skills, both written and verbal.
• Ability to manage sensitive information with integrity and confidentiality.
• Familiarity with federal healthcare regulations.
• High attention to detail and ability to work independently.
• Proficiency in following established processes and procedures

Salary: $25 per hour

Location: Pittsford, NY

Date: Wed, 18 Dec 2024 23:42:48 GMT


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