Job details
Job type full-time
Full job description
Job title: staff attorney
Company overview
For more than 20 years, revint solutions has been helping healthcare providers recover revenue and bolster their bottom linesRevint solutions’ recovery methodology and technology platforms work to optimize the revenue cycleWith the use of intelligent proprietary analytics, our recovery teams are truly the best and most experienced at finding and recovering lost or unidentified revenueWe take a holistic approach to revenue recovery and look at not only contract compliance, but charge and revenue integrity, as well as regulatory compliance such as transfer drg and drg validationToday, we serve over 1,600 hospitals and health systems nationwide and are proud of numerous awards and recognitions, including being consistently named one of the best places to work both locally and nationally.
Description
The staff attorney is responsible for representing healthcare providers in their disputes with medical insurance carriers and managed care organizations at all stages of the administrative appeals processResponsibilities include contract review and appeal template development based on contractual provisions and state and federal law as applicable, writing appeals and letters to insurance companies to resolve denials, and review of high balance or complex accounts.
Responsibilities
This is not an inclusive listOther duties may be assigned
Maintain a foundational understanding commercial, governmental, managed care, and erisa regulations regarding payment, coverage, conditions of participation, and other relevant topics
Assist recovery staff in pursuing appeals, including the development of new and innovative legal and procedural arguments and tools.
Draft complex and contractual appeals and letters to insurance companies.
Review and apply client contract language and rates as necessary to resolve denied claims.
Utilize payer provider and administrative manuals to dispute denied claims.
Contact provider representatives or higher-level resolution units to resolve complex claim and appeal issues.
Represent clients during administrative law judge hearings as needed
Assist with the training of recovery staff team members and provide necessary feedback as requested by management.
Apply provider specific reimbursement methodologies, payment policies and provider contracts to confirm payment in full.
Meet performance standards and goals set by management.
Administrative duties or projects as assigned by a lead attorney or other member of leadership.
Follow all hipaa guidelines.
Required qualifications
Law degree from an accredited college or university
Admitted to practice law in any state
Culture fit
The culture at revint solutions embraces those that demonstrate a deep passion for solving the problems of healthcare with enthusiasm for building positive working relationships and winning as a teamTake the work seriously, but don’t take yourself too seriouslyCreating a strong workplace culture has been one of our staples, which we believe encourages and inspires employees to do their bestJoin a fulfilling team of like-minded individuals who can get their work done, but still have fun!
Benefits
Revint solution provides an extremely competitive benefit package that includes a 401(k) match, medical/dental/vision insurance and more.
Revint solutions is an equal opportunity employer
