Senior Attorney

Juris Doctor (J.D.) degree Direct experience in healthcare revenue cycle management Strong analytical and problem-solving skills Excellent written and verbal communication abilities Ability to work independently while collaborating with a supportive team Meticulous attention to detail and organizational prowess Commitment to upholding HIPAA compliance and company policies

Mentor associates and help develop their skills in the legal framework of the healthcare revenue cycle environment. Assist in developing and presenting internal/external training opportunities. Craft written client and industry feedback. Represent healthcare providers in administrative appeals for denied insurance claims. Develop creative and effective legal arguments to overturn claim denials. Craft compelling and well-researched appeal letters to insurance companies and benefit administrators. Utilize provider manuals and managed care contracts to dispute unjust denials. Work closely with provider representatives and resolution teams to navigate complex claims. Identify industry trends and provide valuable insights to enhance recovery strategies. Conduct legal research and analysis to support business objectives.