North American Partners in Anesthesia ยท 8 hours ago
Paralegal, Revenue Cycle Insurance Arbitration Support
Triangle Area
Full-time
Remote
Mid Level
$58K/yr - $79K/yr
3+ years exp
Maximize your interview chancesHealth CareManagement Information Systems
Hiring Manager
Deanna Lora
Insider Connection @North American Partners in Anesthesia
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Assist in preparing and managing the arbitration process for out-of-network claims, including gathering necessary documentation, drafting legal correspondence, and coordinating with external legal counsel as needed. Ensure compliance with state and federal arbitration regulations.
Handle other out-of-network disputes that do not result in arbitration by negotiating with payers to process claims at maximum reimbursements. Collaborate with the out-of-network team to prepare and submit appeal letters and follow up on denied or underpaid claims to ensure optimal financial outcomes. Provide guidance on tactics for maneuvering the landscape for major market.
Collaborate with the Managed Care team to provide guidance on applicable state and federal guidelines for arbitration when major payers move to out-of-network status.
Maintain accurate and up-to-date records of all arbitration and dispute cases. Ensure that all activities are following relevant laws, regulations, and organizational policies.
Conduct legal research on state and federal arbitration laws and regulations to support case preparation and strategy. Stay updated on changes in healthcare and insurance laws that may impact arbitration and dispute processes.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Paralegal Certificate required
Minimum of three years of related experience with Litigation Healthcare Insurance law, No Surprise Act claims and arbitrations
Strong skills in data mining and is a detail researcher with fact-checking
Ability to recognize and analyze complex contracting issues and discuss such issues with in-house attorneys and internal departments
Excellent written and verbal communication skills
High level of professionalism, dependability, and strong interpersonal skills
Ability to work independently and efficiently in a fast-paced, deadline-driven business environment, with a high focus on accuracy
High level of proficiency with Apttus, MS Office products, including Word, Excel, and SharePoint
Preferred
Bachelor's Degree preferred
Company
North American Partners in Anesthesia
North American Partners in Anesthesia (NAPA) is the leading single specialty anesthesia and perioperative management company.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2016-04-20Acquired
Leadership Team
Rafael Cartagena
Chief Executive Officer
John Bugos
Chief Financial Officer
Recent News
Company data provided by crunchbase
