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.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Public Health Project Specialist-OHA Seta- Was...
Washington, DC Patricio Enterprises, Inc
Senior Public Health Project Specialist-OHA Se...
Washington, DC Patricio Enterprises, Inc
Business Analyst for the Department of Health ...
Washington, DC AMDEX Corporation
Tier 3 Service Desk Support-Dept. of Health & ...
Washington, DC AMDEX Corporation
Security Analyst Supporting the FBI in the Off...
Washington, DC Forfeiture Support Associates, LLC
Systems Administrator - Mid (District) - Washi...
Washington, DC ABBTech Professional Resources, Inc.