JOB TITLE:
Medical Paralegal
SUMMARY:
Assist Billing Supervisor and other medical professionals by providing support with legal issues that arise during the course of treatment care, submitting claims and appealing underpaid and/or denied claims on behalf of out-of-network providers.
DUTIES AND RESPONSIBILITIES:
Follow up on submitted medical bills (major med, PIP/MVA & WC)
Draft appeal letters on behalf of providers and patients in order to overturn insurance denials/underpayments and to reduce patient responsibility.
Answer phones and handle inquiries (i.e. patients, attorneys, insurance adjusters, etc.)
Communicate directly with patient attorneys in order to resolve outstanding balances including negotiating settlements.
Prepare reports regarding case status, including details about pending cases, such as status updates and any issues that may have arisen.
Review medical records to ensure they are complete and accurate.
Research case law, medical literature, and other sources to identify relevant precedents or to gather facts relevant to a case.
Coordinate with others working on the case to gather needed information for further processing.
Collect information from medical experts or other sources regarding cases involving complex medical issues.
Organize files and maintain case documentation.
Performs other related duties as assigned by management.
QUALIFICATIONS:
Associate degree in paralegal studies, legal studies, or related field.
2+ years of experience as a medical paralegal or in a related role.
Preferred paralegal certificate and pass the Paralegal Certification Examination provided by the American Bar Association.
Strong understanding of medical terminology.
Excellent research skills.
Exceptional organizational skills.
Ability to handle confidential information with discretion.
Experience working in a law firm or medical office.
Knowledge of state and federal laws governing healthcare.
Familiarity with electronic medical records systems.
Proficiency in Microsoft Office, Adobe Acrobat, and medical billing software.
Must be well organized and detail oriented.
GENERAL EXPECTATIONS:
Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of team.
Committed to the constant pursuit of excellence and teamwork in improving the care of the patients.
Be punctual with scheduled work and use time appropriately.
Perform duties in a conscientious, cooperative manner.
Perform required amount of work in a timely fashion with a minimum of errors.
Maintain confidentiality and protect the Practice by abiding by laws and principles related to confidentiality; keeps information concerning Practice Operations, patients, and employees confidential.
BENEFITS:
Competitive salary and benefits package.
Health, dental, and vision insurance.
Retirement savings plan.
Paid time off and holidays.
Opportunities for professional development and growth.
Collaborative supportive work environment.
Why Join Us:
Thriving Environment
- Be part of a rapidly growing medical practice where your contributions directly impact our success.
Positive Impact
- Contribute to providing high-quality healthcare services and improving patient experiences.
Learning Opportunities
- Develop your skills and knowledge within the medical field while gaining exposure to various aspects of healthcare administration.
Supportive Team
- Join a collaborative and supportive team that values your input and encourages personal growth.
Personal Growth
- Learning how to overcome challenges and face new responsibilities at work can contribute to personal growth and resilience.
Cutting-Edge Technology
- Work with advanced EMR systems and innovative tools that enhance efficiency and patient care.
If you are excited by the prospect of becoming an integral part of a flourishing medical practice, apply now to bring your exceptional customer service skills, attention to detail, and passion for healthcare to our team. Together, we will continue to provide exceptional care and make a lasting impact on the lives of our patients.
At Progressive Spine & Orthopaedics, we are committed to maintaining a safe and drug-free workplace. As part of our hiring process, all candidates who receive a job offer will be required to undergo a pre-employment drug test and background check. These steps are essential to ensure the safety and well-being of our employees and patients.
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