Beacon Hill Staffing Group - Des Moines, IA

posted 2 months ago

Part-time - Mid Level
Remote - Des Moines, IA
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

  • 4+ years of experience as a healthcare attorney.
  • Strong knowledge of healthcare claims and appeals terminology.
  • Ability to analyze communications between providers and insurers.
  • Experience in reviewing administrative records and identifying denial categories.
  • Proficient in Microsoft Excel, including advanced functions.

Nice-to-haves

  • Familiarity with extrapolation methodologies.
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