Job Details

Health Care Attorney in Hamilton, NJ

This job is expired...

Company name

Medical Diagnostic Laboratories, L.L.C

Organization Type

In-House

Job Type

Attorney

Practice Area

Health Care

Years of Experience

Min 1 yrs required

Location

Hamilton, NJ

Date Last Verified

Jun 20,2018

Posted on

Apr 03,2018

75 hits

Profile

Healthcare Regulatory And Compliance Specialist The candidate must have High School Diploma, Associates or College Degree, paralegal certification a plus. Should have 1+ year of healthcare compliance and regulatory experience. Must be proficient in the use of a personal computer, Excel and Word. Must have following qualifications and experience: Training or assisted with training of business leaders and employees on ethics, compliance, Federal Health Care Program requirements, State and Federal False Claims Acts, Anti-kickback Statutes and HIPAA; Researching Medicare, Medicaid and commercial managed care organization policies pertaining to billing requirements, coding and reimbursement; Communication skills to pursue network participation for MDL or GBG affiliated companies with managed care organizations; Completing and submitting applications for managed care provider agreements; Abstracting managed care provider agreements to summarize terms, plan descriptions and fee schedules for attorney review; Handling renewals, re-credentialing and amendments for existing managed care provider agreements; Preparing written reports on the status of participating managed care provider agreements; Monitoring reimbursement for accuracy; 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 reimbursement issues.

Additional info

Requisition Number : 18-0164.

Company info

Hiring Coordinator
Medical Diagnostic Laboratories, L.L.C
2439 Kuser Road
Hamilton, NJ 08690