Job Description
Play a crucial role in advocating for healthcare providers in disputes with insurance carriers and managed care organizations. This is a unique legal opportunity where you’ll apply your analytical skills, contractual expertise, and persuasive writing abilities to drive successful claim resolutions—without the stress of litigation. Key Responsibilities: Represent healthcare providers in administrative appeals for denied insurance claims. Develop creative and effective legal arguments to overturn claim denials. Craft compelling and well-researched appeal letters to insurance companies and benefit administrators. Utilize provider manuals and managed care contracts to dispute unjust denials. Work closely with provider representatives and resolution teams to navigate complex claims. Identify industry trends and provide valuable insights to enhance recovery strategies. Conduct legal research and analysis to support business objectives.
About Ternium
Ternium specializes in resolving complex healthcare insurance claim denials and delays.