What are the responsibilities and job description for the Associate Attorney (Senior-level Insurance) position at Exact Billing Solutions?
Brief Description
Associate Attorney (Senior-level Insurance) ABA Centers of America
Fort Lauderdale, FL
This position is on-site in our downtown Fort Lauderdale HQ offices.
About ABA Centers Of America
ABA Centers of America is a healthcare innovator experiencing steady growth while revolutionizing the autism care field. We provide ABA (Applied Behavior Analysis) therapy and diagnostic services to our clients and families in our centers, in homes, and in the community.
Listed by Inc. magazine as the 5th fastest-growing private company in the U.S., we are focused on opening new clinics and remaining self-funded without private equity investment. Were also named in Inc.s Best in Business list for Health Services, honoring companies that have made an extraordinary impact in their fields and on society.
We are currently in 10 states with over 30 clinical service areas, and our roadmap will bring us to more than 50 clinical service areas over the next 12-24 months. We have the resources and talent usually found at a more mature organization, including fully staffed teams to support marketing, IT, accounting, and clinic growth.
Growth Opportunity
If you're an attorney with healthcare / insurance industry experience looking to broaden your skills in the corporate world, we've got the perfect opportunity for you. This is an exciting time to be a part of our company as we grow to become the nations leading commercial autism care provider!
As an Associate Attorney, you will assist in the preparation of documents to help advocate for children with autism, including documents on reimbursement for care and treatment. The successful candidate will proactively develop policies and procedures aligning with our company goals and philosophies while mitigating risk whenever possible. Bonus we don't require billable hours!
What You'll Do
- Collaborate with the Chief Legal Officer and other company attorneys to develop legal strategies in line with company values.
- Provide advice, leadership, and guidance on revenue cycle management issues, particularly in regard to appealing wrongfully denied and delayed insurance claims through the insurance carriers internal appeal process.
- Advocate for children with Autism Spectrum Disorder (ASD).
- Oversee appeals relating to claims submitted to third-party payors.
- Draft appeals with insurance as part of the revenue cycle management process.
- Review and negotiate single-case agreements with health insurance payors.
- Collaborate closely with admissions, utilization review, and clinical staff to develop, implement, and evaluate a legally compliant screening assessment and admissions process.
- Ensure compliance with the state and accreditation agency requirements / guidelines.
- Stay current with changes in state and federal laws and regulations regarding insurance / third-party payors and data privacy.
- Work within the companys proprietary technology framework to promptly update cases and streamline case management processes, supporting enhancements within the system and ensuring the accuracy of data.
- Work on-site with minimal travel time requirements.
Requirements
Education and Experience :
Summary
Benefits
ABA Centers of America Culture
ABA Centers of America is determined to maintain its culture with a team of seasoned professionals working toward a shared vision of creating the nations leading provider of autism care. All our decisions are data-informed, mission-driven, and client-centric.
ABA Centers of America participates in the U.S. Department of Homeland Security E-Verify program.
Recruiter ID :
