Job Description

Job Description

ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we’d love to meet you. This extraordinary opportunity to advance your career and make a difference is now.

We are searching for a Legal Hospital Claims Analyst – someone who works well in a fast-paced setting. In this position, you’ll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented.

Essential responsibilities and duties

• Conducts legal research and investigation of claims
• Drafting legal documents
• Keeping track of changes in legal framework and providing timely updates on these changes
• Utilizes ERISA law enforcement
• Utilizes knowledge of health care standards appropriate to specific claim
• Ability to understand and apply medical reimbursement policies, procedures, and standards
• Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation
• Utilize a variety of EHR systems
• Thrives in a fast-paced environment
• Collaborates effectively with other team members
• Ability to adapt to changing needs
• Consistently applies knowledge relevant to claims
• Work intensely at a fast-paced rate
• Ability to communicate effectively with third party administrators
• Determine the status of medical claims through research
• Meet the standards of the department and quality standards
• Strong organizational skills

Desired skills and Qualifications

• Bachelor’s degree
• 3+ years working in the legal field
• 2+ years working with healthcare insurance claims (preferred)
• Strong Communication skills
• Working knowledge utilizing Microsoft software (Word, Excel, Outlook)
• Ability to work in a fast-paced environment

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Paid lunches
• Bonus

ERISA Recovery is an Equal Opportunity Employer

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