Exact Billing Solutions · 13 hours ago
Associate Attorney
Exact Billing Solutions is a rapidly scaling healthcare services company specializing in revenue cycle management for substance use disorder, mental health, and autism care. The Associate Attorney (Insurance) will assist the legal department in advocating for children with autism, focusing on insurance law and revenue cycle management issues.
BillingConsultingHealth CareMedicalSoftware
Responsibilities
Collaborate with the Chief Legal Officer and other company attorneys to develop legal strategies in line with company values
Provide advice, leadership and guidance on revenue cycle management issues, particularly in regard to appealing wrongfully denied and delayed insurance claims through the insurance carrier’s internal appeal process
Oversee appeals relating to claims submitted to third party payors
Draft appeals with insurance as part of the revenue cycle management process
Review and negotiate single case agreements with health insurance payors
Collaborate closely with admissions, utilization review and clinical staff to develop, implement, and evaluate a legally compliant screening assessment, and admissions process
Ensure compliance with accreditation agency requirements
Ensure compliance with the state requirements/guidelines
Stay current with changes in state and federal laws and regulations in areas of insurance/third party payors and data privacy
Work within the company’s proprietary technological framework to promptly update cases and streamline case management processes, supporting enhancements within the system and ensuring the accuracy of data
On-site with minimal travel time requirement
Qualification
Required
JD from an ABA accredited institution
Licensed to practice in Florida or approved as Authorized House Counsel in Florida
Minimum 3 years of experience as a practicing lawyer, with an emphasis on healthcare/health insurance industry issues
Knowledge of state and federal law regarding health care compliance, insurance regulations and patient confidentiality laws
Knowledge of state guidelines and accreditation agency standards
Preferred
Familiarity with medical and billing coding a plus
Knowledge of behavioral health issues a plus
Fluency in Spanish helpful
Benefits
21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays).
Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
Medical, dental, vision, long-term disability, and life insurance.
Generous 401(k) with up to 6% employer match.
Company
Exact Billing Solutions
Exact Billing Solutions offers revenue cycle management to help reduce medical billing costs.
Funding
Current Stage
Growth StageCompany data provided by crunchbase