Remote Independent Dispute Resolution Paralegal

Summary

Join Dane Street's team as a highly motivated paralegal to work in a new dispute resolution program. You will review reports accompanying medical records, communicate with other reviewers, and ensure that medical billing information and coding are correct.

Requirements

• 3-5 experience as a paralegal in a law firm, health care firm or entity processing disputed claims
• Arbitration experience is strongly preferred
• Experience working remotely is preferred
• Experience with medical office or hospital claims services is preferred
• Medical office or health care background a plus
• Must work with a sense of urgency and meet deadlines
• Must be self-motivated, with a strong drive for performance excellence
• Excellent written and verbal communication skills are required
• Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus)
• Attention to detail REQUIRED

Responsibilities

• Evaluates and organizes medical information to ensure that cases are adjudicated properly
• Ensures that the medical records are matched appropriately to documentation, and if not, obtains the correct documentation
• Participate in training for this position, some training may include arbitration training
• Read policy guidelines and delineate when criteria are/are not met
• Evaluates claims for conflict of interest and appropriateness
• Works within established timeframes set by program parameters
• Provides strong customer service skills and works closely with clients on a case-by-case basis to provide complete, timely, and error-free quality assurance of cases
• Provides oversight to cases that are complex and need additional review prior to return to the client
• Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues