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.

Key Responsibilities

• Assist recovery staff in developing legal and procedural arguments for appeals
• Draft complex appeals and letters to insurance companies based on contractual provisions
• Review client contracts and apply reimbursement methodologies 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