Health Care/Attorney/In House/Washington, District of Columbia

Company Name:
The candidate will manage an ample case load of corporate health claims. Will serve in filing written appeals through administrative appeals processes to resolve problematic (e.g., underpaid or denied) medical claims for payment with health, governmental, and corporate health payers. Review large volumes of medical records. Compose appeals with supporting medical documentation and file administrative appeals to payers. Employ good, aggressive, and cordial telephone manner to effectuate fair and prompt claims payment to client hospitals. Navigate through unfamiliar jurisdictions and processes in order to appeal and settle claims. Should have an Undergraduate and graduate degree with GPA of 3.0 or higher. Proficiency in Microsoft Office including Word and Excel with the ability to quickly learn and operate new computer programs and software needed.

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