Job Description
ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we’d love to meet you. This extraordinary opportunity to advance your career and make a difference is now.
We are searching for a Legal Hospital Claims Analyst – someone who works well in a fast-paced setting. In this position, you’ll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented.
Essential responsibilities and duties
- Conducts legal research and investigation of claims
- Drafting legal documents
- Keeping track of changes in legal framework and providing timely updates on these changes
- Utilizes ERISA law enforcement
- Utilizes knowledge of health care standards appropriate to specific claim
- Ability to understand and apply medical reimbursement policies, procedures, and standards
- Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation
- Utilize a variety of EHR systems
- Thrives in a fast-paced environment
- Collaborates effectively with other team members
- Ability to adapt to changing needs
- Consistently applies knowledge relevant to claims
- Work intensely at a fast-paced rate
- Ability to communicate effectively with third party administrators
- Determine the status of medical claims through research
- Meet the standards of the department and quality standards
- Strong organizational skills
Desired skills and Qualifications
- Bachelor’s degree
- 3+ years working in the legal field
- 2+ years working with healthcare insurance claims (preferred)
- Strong Communication skills
- Working knowledge utilizing Microsoft software (Word, Excel, Outlook)
- Ability to work in a fast-paced environment
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Paid lunches
- Bonus
ERISA Recovery is an Equal Opportunity Employer
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