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Legal Staff Paralegal in Hamilton, NJ

Medical Diagnostic Laboratories, L.L.C Mar 26,2018 Mar 06,2018 Location Hamilton NJ
This job is expired...

In-House

Legal Staff

Corporate - Contract Law

Finance - General

Min 1 yrs required

Profile

Managed Care Contracting and Reimbursement Specialist The candidate will be completing and submitting applications for provider agreements. Will be abstracting provider agreements to summarize terms, plan descriptions and fee schedules for attorney review. Handling renewals, re-credentialing and amendments for existing provider agreements. Organizing commercial and governmental contracts electronically. Preparing written reports on the status of participating managed care provider agreements and the provider agreements requested to obtain. Monitoring reimbursement for accuracy and timeliness. Identifying and reporting on types of claims denied and making recommendations to improve reimbursement. Researching and formulating grounds to appeal claim denials. Transmitting required documentation to government or commercial payers to resolve payment issues. Staying current on payer policies by accessing and navigating the portals. Must have High School Diploma, Associates or College Degree. Paralegal certification is a plus. Must have 1+ year of accounting, reimbursement, finance and/or accounts receivable experience with knowledge of payment posting, claims, remittances, insurance follow-up and reconciliation and billing processes. Must have excellent written and verbal skills. Should be proficient in the use of a personal computer, Excel and Word.

Additional info

Requisition Number 18-0133.

Company info