Pre-Litigation Adjustor

Remote Full-time
Law Offices of Stephenson, Acquisto & Colman, a specialty health care law firm, is seeking to fill a Pre – Litigation Adjustor position that will work remotely. Potential candidates will develop skills evaluating disputed healthcare claims, draft written appeals and follow-up with payers for timely resolution of claims.

Responsibilities:
• Review and analyze files
• Identify issue in order to determine next course of action
• Prepare customer correspondence and settlement documentation
• Communicate directly with clients, suppliers, and customers
• Manage pre-litigation claims, prepare files and set notifications for claims follow up
• Maintain pre-litigation data base
• Manage email and faxes daily
• Perform research and analysis as required to settle claims
• Negotiate pre-litigation claim settlements in excess of established levels
• Prepare and submit appeals to various government entities within the timeframe allowed based on their specific guidelines
• Communicate telephonically with various government entities regarding claim and/or appeal status

Qualifications:
• Strong interpersonal, verbal, and written communication skills. Ensures that verbal and written communication is clear and concise.
• A self-starter with an ability to work independently and in a team environment.
• Ability to work in a fast paced environment and detail oriented.
• Proficient in MS Word, Excel and computer literacy required.
• Strong analytical, problem solving and critical thinking abilities.

Requirements
1. Time Management skills
2. Highly organized
3. Ability to multitask
4. Attention to detail
5. Proficient in Microsoft Office
6. Personal Effectiveness/Credibility

Supervisory Responsibility
This position has no supervisory responsibilities.

Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Position Type/Expected Hours of Work
Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:30 a.m. to 5:30 p.m.

Preferred Education and Experience
1. College degree.
2. One to Two years of related experience.
3. Training or experience in computer applications.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: Remote

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