Description:

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 nation's 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 carrier's 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 company's 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:

Juris Doctorate from an ABA-accredited institution
Licensed to practice in Florida or approved as Authorized House Counsel in Florida
Minimum 6-10 years of experience as a practicing lawyer, with an emphasis on health care/health insurance industry issues.
Familiarity with medical and billing coding a plus.
Large law firm experience preferred.
Knowledge of behavioral health issues a plus.
Knowledge of state and federal law regarding health care compliance, insurance regulations and patient confidentiality laws.
Knowledge of state guidelines and accreditation agency standards.
Fluency in Spanish helpful.