- Lead and manage complex healthcare revenue cycle litigation cases, including disputes with payers, regulatory agencies, and vendors
- Draft and file legal documents, such as complaints, motions, and responses, and represent clients in court proceedings
- Coordinate with outside counsel and experts as needed for specialized areas of litigation.
- Assist in negotiation and settlement processes
- Attend court hearings, depositions, and meetings as necessary
- Stay up to date with healthcare laws, regulations, and industry standards to ensure clients' compliance with billing and reimbursement requirements
- Advise clients on regulatory matters, including Stark Law, Anti-Kickback Statute, and HIPAA compliance
- Review, draft, vet and negotiate contracts related to healthcare revenue cycle services, including billing agreements, reimbursement contracts, and vendor agreements
- Ensure that contracts align with legal and regulatory requirements and protect the client's interests
- Helping to draft, vet and negotiate contracts
- Provide legal advice and guidance to healthcare organizations on revenue cycle management best practices, including optimizing billing processes, charge capture, and claims processing
- Maintain accurate records and documentation related to litigation cases, contracts, and compliance efforts
- Prepare and review legal documents, including demand letters, settlement agreements, and legal opinions
- Explore and engage in alternative dispute resolution methods, such as arbitration and mediation, to resolve legal issues more efficiently
- Strong negotiation skills and expertise in case management
- Juris Doctor (JD) degree from an ABA accredited law school
- CA Barred Attorney
- 3-5 years Litigation/Dispute Resolution experience (preferred)
- Excellent analytical, writing, and problem solving skills
- Managed Care, Revenue Cycle Hospital Operational experience (preferred)
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Associate Attorney - Costa Mesa, United States - Adams & Martin Group
Description
Job Description
Job DescriptionASSOCIATE ATTORNEY (JR OR SR)
A cutting edge, innovative, legal resource center is looking to add to their dynamic team of attorneys. This attorney would be responsible for accurately and efficiently reviewing contracts, researching healthcare provider claims, thoroughly documenting investigation results, and identifying and implementing timely resolution strategies resulting in maximum recovery percentage rates and a minimal average lifecycle for all matters.
ESSENTIAL JOB FUNCTIONS:
EXPERIENCE REQUIRED:
All qualified applicants will receive consideration for employment without regard torace, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status.We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.