Position Summary / Career Interest:

• Provide legal research analysis and advice on healthcare regulations billing collections and reimbursement issues.
• Draft review and negotiate contracts and agreements related to payors vendors and revenue cycle operations.
• Advise on compliance with federal and state laws (e.g. Medicare Medicaid commercial payers) and help resolve regulatory or legal issues impacting the revenue cycle.
• Support the resolution of denied claims and appeals including shepherding disputes through administrative processes.
• Analyze the impact of regulatory changes on revenue cycle processes and recommend operational adjustments.
• Collaborate with revenue cycle compliance finance and operational leaders to optimize revenue capture and minimize legal risk.
• Assist in developing and updating policies and procedures to ensure ongoing compliance and operational efficiency.
• Monitor and report on legal and compliance risks related to revenue cycle activities.
• Lead or support alternative dispute resolution (ADR) efforts including drafting ADR clauses preparing for mediation/arbitration and managing the resolution process.
• Oversee review of Medicare payment rules and creation and submission of comments to respond
• Must be able to perform the professional clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

• Juris Doctor
• 7 or more years experience in a law firm or an in-house legal department or governmental law department.
• 3 or more years experience in health care law.

• 5 or more years experience in health care reimbursement billing dispute resolution including alternative dispute resolution methods.

• License to Practice Law - State Bar Association Admission in good standing to the Kansas Bar or member in good standing of another state bar and registered as in-house in the state of Kansas.

• Advanced English - Read write and speak English

• Significant experience in dispute resolution with strong negotiation skills.
• Strong academic credentials and solid work ethic.
• Stellar analytical verbal and written communication negotiation and influence skills.
• Broad background in providing solid and collaborative advice and counsel to internal leadership to minimize legal risk.
• Broad background in contract negotiations with payors and vendors.
• Maintain up-to-date knowledge of federal and state laws and regulations impacting health care billing collections and reimbursement.
• Ability to work efficiently and independently under tight deadlines and pressures.
• Proficient in Microsoft Office 365.
• Understanding of revenue cycle practices and activities.
• Combination of law firm and in-house legal experience preferred.
• Experience working in the academic medical center space preferred.

Time Type:

Job Requisition ID:

We are an equal employment opportunity employer without regard to a persons race color religion sex (including pregnancy gender identity and sexual orientation) national origin ancestry age (40 or older) disability veteran status or genetic information.

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