Beacon Hill Staffing Group - Bismarck, ND

posted 2 months ago

Part-time - Mid Level
Remote - Bismarck, ND
Administrative and Support Services

About the position

The Healthcare Attorney position at Beacon Hill Staffing Group is a temporary role designed for experienced legal professionals specializing in healthcare law. The attorney will be responsible for analyzing healthcare claims, reviewing contracts, and interpreting plan descriptions, all while working remotely for a duration of approximately six months. Candidates must have a strong background in healthcare law and be able to work independently with minimal supervision.

Responsibilities

  • Analyze healthcare claims, including processing and appeals terminology.
  • Review and interpret key contract provisions and provider manuals between healthcare systems and insurers.
  • Review Summary Plan Descriptions, focusing on reimbursement language and medical necessity definitions.
  • Examine administrative records for claims, identifying categories of denials and underpayments.
  • Utilize Microsoft Excel to review claims detail, including sorting, pivot tables, and v-lookup functions.

Requirements

  • Must have 4+ years of healthcare attorney experience.
  • Strong knowledge of healthcare claims terminology (CPTs, HCPCS, DRG).
  • Ability to analyze communications between providers and insurers, including denial and approval letters.
  • Experience in reviewing administrative records and identifying denial categories.
  • Proficient in Microsoft Excel, with strong skills in data analysis.

Nice-to-haves

  • Familiarity with extrapolation methodologies.
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