State Licensed Complex Denials Consultant

Job Summary

A company is looking for a Complex Denials Consultant to represent healthcare providers in disputes with medical insurance carriers and managed care organizations.

Key Responsibilities

• Assist recovery staff in pursuing appeals and developing legal arguments
• Draft complex appeals and letters to insurance companies
• Review client contract language and apply it to resolve denied claims

Required Qualifications

• Law degree from an accredited college or university
• Barred in one state or must be bar-eligible within 6 months of graduation