Flexible Attorney-at-Law

Healthcare Legal Solutions, LLC is a fast-growing healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems nationwide. This is a great opportunity for attorneys who are passionate about healthcare, legal writing, and strategy.

This position is responsible for settling a high volume of claims using creative, innovative, and flexible argumentation; managing an ample case load of corporate health claims; filing written appeals through administrative appeals processes to resolve problematic (e.g. underpaid or denied) medical claims for payment with governmental and corporate health payers.

Quickly and efficiently review medical records and submit well‑written compelling appeals to health insurers and governmental payers.

Apply an expert understanding of Commercial, Governmental, Managed Care, and ERISA regulations regarding payment, coverage, conditions of participation, and other relevant topics to support appeal arguments.

Assist legal appeals team in developing new and innovative legal and procedural arguments and tools.

Oversee drafting of complex contractual appeals and administrative templates for organizational use.

Guide legal interns and paralegals when needed.

Perform administrative duties or projects as assigned by leadership.

Navigate through various insurance systems and applications to find information about insurance claims.

Follow all HIPAA guidelines and internal compliance protocols.

from an American Bar Association accredited law school.

Licensed to practice law in at least one U.Law school GPA of 3.0 or higher.

3+ years of legal experience, ideally in healthcare or administrative law.

Proficiency in Microsoft Office, including Word and Excel, with the ability to quickly learn and operate new computer programs and software.

Highly attentive to detail and able to handle large amounts of paperwork for a busy office.

Clear, concise, and logical writing style.

Basic working knowledge of medical terminology and diagnostic procedures.

Experience in healthcare claims, denial management, or reimbursement.

Ability to work independently and efficiently with minimal supervision.

Collects and researches data; Uses intuition and experience to complement data; Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Contributes to building a positive team spirit; Competitive salary based on experience with opportunity for performance‑based bonuses

Health, dental, and vision insurance stipend - Choose your own plan (in process of conversion to group health so this is changing)

401(k) retirement plan with company contribution

Vacation time, sick time, and paid holidays

Professional development and training opportunities

Subsidized Life and disability insurance

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