Senior Associate, Attorney

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Ternium Revenue Cycle Management

WebsiteLinkedInAll Job Openings

11 - 50 employees

🛡️ Insurance

⚖️ Legal

🏥 Healthcare

Insurance • Legal • Healthcare

Ternium Revenue Cycle Management is a specialized consulting service focused on improving healthcare revenue cycles. With over 50 years of combined experience, the founders have worked with some of the largest healthcare providers in the country, offering bespoke solutions for complex accounts and insurance denials. The company emphasizes quality of work and collaboration with their clients to achieve superior results in accounts receivable management and overall revenue cycle performance.

📋 Description

• Manage a high-volume caseload of complex administrative appeals for denied healthcare insurance claims • Draft appeal letters, reconsideration requests, and other legal correspondence to commercial and government payers • Analyze managed care contracts, provider manuals, medical policies, federal and state regulations, and payer guidelines to develop reimbursement strategies • Research complex legal, contractual, and regulatory issues affecting healthcare reimbursement • Partner with clinical review nurses, resolution specialists, and client representatives on appeal strategies • Identify denial trends, payer behaviors, and emerging reimbursement issues and recommend improvements to recovery outcomes • Develop client communications, legal analyses, and industry insights on reimbursement trends and regulatory developments • Maintain productivity and quality standards while managing competing priorities independently in a remote environment • Ensure compliance with HIPAA, client confidentiality requirements, and applicable federal and state regulations • Serve as a subject matter expert by sharing knowledge and guiding colleagues

🎯 Requirements

• 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 HIPAA compliance and company policies

🏖️ Benefits

• 401(k) with corporate match • Comprehensive health, dental, and vision insurance • Flexible schedule • Paid time off • Professional development • Mentorship • Upward mobility within a thriving company • Life insurance • Bar dues reimbursement • Performance-based bonuses • 100% remote work