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job_organization_name

city

state

<h3>Job Description</h3>
Job Description
 V&amp;#x101;lenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.&nbsp;&nbsp; &nbsp;
About Our Opportunity&nbsp;
As an Appeals Analyst, you will resolve of out-of-network, RBP, and related appeals. This encompasses not only negotiating reimbursement rates but also evaluating, denying, or settling appeals. You'll comply with industry guidelines and contracts, while liaising with our clients. Your contribution will be pivotal in analyzing appeals, conversing with providers, and determining the fairness and justification of claim counteroffers.&nbsp; &nbsp;
Key Responsibilities:&nbsp;&nbsp;&nbsp;
<ul>
<li>
Receive, review, and address appeals from providers, ensuring that all appeals are processed in accordance with ERISA, plan guidelines, and other applicable regulations.&nbsp;
</li>
<li>
Reviews and evaluates provider counteroffers on claims, analyzing their legitimacy to ensure they're justified, equitable, and aligned with the best possible outcome for all parties.&nbsp;
</li>
<li>
Engage in negotiations with providers to achieve optimal results for clients, sometimes necessitating a direct denial or alternative negotiations.&nbsp;
</li>
<li>
Calculate and propose initial settlement offers based on claim history, other pricing tools, and relevant data.&nbsp;
</li>
<li>
Complete agreement templates detailing negotiated terms and forwards them to the provider for review.&nbsp;
</li>
<li>
Follow up on outstanding agreements to ensure timely closure.&nbsp;
</li>
<li>
Records and documents finalized agreements for future reference and compliance.&nbsp;
</li>
<li>
Ensures that claims are priced accurately, reflecting the terms stipulated in the finalized agreement.&nbsp;
</li>
<li>
Engages in regular communication with clients to update them on appeal statuses, outcomes, and other pertinent information.&nbsp;
</li>
<li>
Utilizes support software, such as Zendesk, ensuring adherence to all SLAs and ensuring efficiency and accuracy in communication.&nbsp;
</li>
<li>
Maintains strict compliance with company policies, procedures, and relevant regulations.&nbsp;
</li>
</ul>
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.&nbsp;
&nbsp; What You’ll Bring to the Team:&nbsp;&nbsp;&nbsp;
<ul>
<li>
2+ years in analyzing, denying, or settling out-of-network appeals.&nbsp;
</li>
<li>
Proficient in CPT-4, HCPCS, Revenue, DRG, and ICD-10 coding for accurate claim reviews.&nbsp;
</li>
<li>
Knowledge of the No Surprise Act, ERISA guidelines, and related legislations.&nbsp;
</li>
<li>
Proven negotiation skills with providers for claim adjustments and counteroffers.&nbsp;
</li>
<li>
Strong analytical ability for evaluating claims using pricing tools and past data.&nbsp;
</li>
</ul>
A plus if you have:&nbsp;
<ul>
<li>
Experience with international plans&nbsp;
</li>
<li>
Experience in self-funded insurance&nbsp;
</li>
</ul>
Where You’ll Work&nbsp;
This is a remote role.&nbsp;
&nbsp;
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages – see below!
At Valenz, our team is committed to delivering on our promise to&nbsp;engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be&nbsp;strong, vigorous, and healthy.&nbsp;You’ll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!
&nbsp;
Perks and Benefits
<ul>
<li>Generously subsidized company-sponsored Medical, Dental, and Vision insurance.</li>
<li>Spending account options: HSA, FSA, and DCFSA</li>
<li>401K with company match and immediate vesting.</li>
<li>Flexible working environment.</li>
<li>Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.</li>
<li>Paid maternity and paternity leave.</li>
<li>Community giveback opportunities, including paid time off for philanthropic endeavors.</li>
</ul>
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
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QJK1z8kmu6

Appeals Analyst

<h3>Job Description</h3>
Job Description
Now Hiring: Paralegal – Tax Law Firm | San Diego | Onsite to Start | Hybrid Option Later 
Partnered with New Gig Solutions – Immediate Need
Are you an experienced Paralegal ready to hit the ground running? A respected Tax Law Firm in San Diego has partnered with New Gig Solutions to fill a high-priority role immediately. This is a great opportunity to join a fast-paced, client-focused legal team during one of the firm's busiest seasons.
Position Overview: We're seeking a detail-oriented and proactive Paralegal with experience supporting attorneys in tax, estate planning, or business law. The role will begin onsite in San Diego, with the option for a hybrid schedule once the selected candidate is fully onboarded and up to speed.
What You'll Be Doing:
<ul>
<li>
Support attorneys with preparation of legal documents, filings, and correspondence related to tax law, trusts &amp; estates, and business entities
</li>
<li>
Conduct legal research and manage case files with high accuracy and efficiency
</li>
<li>
Coordinate with clients and government agencies (e.g., IRS, FTB)
</li>
<li>
Maintain deadlines and track case progress across multiple matters
</li>
<li>
Draft and review legal documents such as engagement letters, tax filings, petitions, and trust documents
</li>
<li>
Assist with the organization and analysis of financial records and tax documentation
</li>
<li>
Provide administrative support as needed to keep attorneys organized and focused
</li>
</ul>
What We're Looking For:
<ul>
<li>
Minimum 2 years of experience as a paralegal in a law firm (tax or estate planning experience a strong plus)
</li>
<li>
Strong familiarity with legal terminology and document drafting
</li>
<li>
Excellent attention to detail and time management
</li>
<li>
High level of discretion and professionalism when handling sensitive client information
</li>
<li>
Ability to work independently and stay organized in a high-volume environment
</li>
<li>
Strong communication skills and a collaborative, team-first mindset
</li>
<li>
Paralegal certificate or equivalent legal education strongly preferred
</li>
</ul>
Job Details:
<ul>
<li>
Location: San Diego, CA (Onsite to start; Hybrid potential after onboarding)
</li>
<li>
Schedule: Full-time
</li>
<li>
Start Date: ASAP
</li>
<li>
Compensation: Competitive salary based on experience + benefits
</li>
</ul>
About the Firm: This boutique tax law firm is known for its thoughtful, client-first approach and strong reputation across San Diego. You'll be joining a close-knit team that values precision, integrity, and supporting each other during high-demand times.
If you're looking to grow your paralegal career in a stable and respected firm—this could be the perfect fit.

Paralegal

<h3>Job Description</h3>
Job Description
Associate Attorney - Workers Compensation &amp; Insurance Defense
Location: Los Angeles, CA (Hybrid Must Reside Within 1 Hour of Office) Position Type: Full-Time | Entry to Mid-Level Compensation: $125,000 - $225,000 OTE (Base + Performance Bonuses)
Overview
HireNow Staffing is recruiting on behalf of a well-respected California-based litigation firm that defends some of the nation's most recognizable brands, insurance carriers, and professional sports entities. With a growing presence in Los Angeles, the firm is seeking an Associate Attorney to join their team and play a hands-on role in active litigation without getting lost in a bureaucracy.
This is an excellent opportunity for a driven attorney who wants to build a lasting career in workers' compensation and insurance defense law while working in a flexible and supportive environment.
What You'll Be Doing
This role offers the chance to take ownership of cases from day one. You'll work directly with clients, partners, and support staff on a full range of litigation tasks.
Responsibilities Include:
<ul>
<li>
Managing a caseload from intake through trial or settlement
</li>
<li>
Drafting motions, pleadings, and legal correspondence
</li>
<li>
Conducting depositions, hearings, and settlement negotiations
</li>
<li>
Collaborating with paralegals and legal assistants to meet deadlines and maintain efficiency
</li>
<li>
Contributing to firm strategy meetings and participating in client-facing discussions
</li>
</ul>
Qualifications
We're looking for attorneys who are eager to litigate, grow their legal acumen, and be part of a dynamic, high-performing team.
Required:
<ul>
<li>
Active California Bar license in good standing
</li>
<li>
Strong legal writing, research, and oral advocacy skills
</li>
<li>
Excellent time management and file organization habits
</li>
<li>
Professionalism and the ability to work both independently and within a team
</li>
</ul>
Preferred:
<ul>
<li>
2-5 years of experience in workers' compensation or insurance defense
</li>
<li>
New attorneys with relevant internships, clerkships, or mock trial experience are welcome to apply
</li>
<li>
Comfort in a litigation setting and eagerness to gain courtroom exposure
</li>
<li>
Enthusiasm for professional development through mentorship and feedback
</li>
</ul>
What You'll Gain
This firm believes in rewarding hard work while supporting work-life balance. You'll be part of a firm that values mentorship, growth, and results.
Compensation &amp; Perks Include:
<ul>
<li>
Base Salary + Bonus Structure ($125,000 - $225,000 OTE based on experience)
</li>
<li>
Merit-based Quarterly Bonus Opportunities
</li>
<li>
Comprehensive Benefits (Medical, Dental, Vision)
</li>
<li>
Ongoing Mentorship &amp; Training
</li>
<li>
CLE &amp; Bar Dues Reimbursement
</li>
<li>
️ Modern Tech &amp; Case Management Software
</li>
<li>
Hybrid Work Options (23 days remote available after onboarding)
</li>
<li>
Generous PTO Policy + Paid Holidays
</li>
</ul>
Why Join?
Whether you're a rising litigator looking to sharpen your trial skills or a recent law grad seeking guidance from seasoned professionals, this firm provides the ideal platform. Their client work is high impact, their leadership is accessible, and their firm culture is grounded in professional respect and collaboration not billable hour burnout.
Ready to Step into a Growth-Focused Role?
Submit your resume and a short summary of your litigation interest or experience. Qualified candidates will be contacted quickly for next steps.
<a href="https://www.careers-page.com/hirenow-staffing-inc/job/QYWXYV9V" target="_blank">https://www.careers-page.com/hirenow-staffing-inc/job/QYWXYV9V</a>

Associate Attorney - Workers Compensation & Insurance Defense

<h3>Job Description</h3>
Job DescriptionDocument Review Attorney Location: Remote – Must be based in one of the following states: DC, GA, MA, IL, TX, CA, or NY Eligible Office Locations: Washington, Atlanta, Boston, Chicago, Dallas, Houston, Irvine, Los Angeles, New York, Palo Alto, San Diego, San Francisco Position Type: Full-Time, Direct Hire Salary Range: $80,000 – $125,000 annually
Direct Counsel is seeking a Document Review Attorney to join a leading Am Law 100 firm’s Investigations &amp; White Collar practice group. This is a fully remote opportunity, open to candidates in any state where there is an office.
Key Responsibilities:
<ul>
<li>
Manage all aspects of document review, including protocol and coding panel preparation, drafting searches, and conducting 1L/2L/QC/redaction/privilege/pre-production reviews
</li>
<li>
Prepare privilege logs and assist with related eDiscovery documentation
</li>
<li>
Serve as liaison with external eDiscovery vendors and facilitate communication between legal teams and vendors
</li>
</ul>
Required Qualifications:
<ul>
<li>
5+ years of eDiscovery/document review experience in Am Law 100/200 settings or with a sophisticated review provider
</li>
<li>
Deep familiarity with the EDRM, particularly the document review lifecycle
</li>
<li>
Proficiency with review tools such as Relativity, DISCO, and Opus 2
</li>
<li>
Experience with TAR and analytics platforms like Brainspace and Relativity Analytics
</li>
<li>
Strong Excel skills, especially for managing data exports and privilege logs
</li>
<li>
Excellent written and verbal communication skills
</li>
<li>
Ability to work flexible and extended hours, including evenings and weekends as needed
</li>
<li>
Active U.S. bar license in good standing in the state where the candidate is located
</li>
</ul>
This role offers the opportunity to contribute to complex investigative matters in a collaborative and high-performing practice. Ideal for attorneys who thrive in fast-paced, detail-driven environments and are looking to grow within a sophisticated, national platform.

Document Review Attorney

<h3>Job Description</h3>
&nbsp;About Us: Saenz-Garcia PLLC is a rapidly growing firm specializing in federal immigration litigation and dedicated to securing just outcomes for our clients in complex immigration cases. We are committed to defending immigrant rights and challenging adverse decisions through federal court litigation. Our team seeks a full-time Federal Immigration Litigation Attorney to work exclusively on federal cases, supporting our attorneys handling administrative cases by providing strategic analysis, opinion memos, and comprehensive legal briefs on critical immigration issues.
 
Job Description: The Federal Immigration Litigation Attorney will take on the primary responsibility for handling federal immigration cases from start to finish, including drafting and filing complaints, motions, and briefs, and representing clients in federal court. This role also includes providing legal support to our administrative-level attorneys by producing detailed internal opinion memos on complex immigration matters, crimmigration issues, and other critical points of law. This position is ideal for an attorney with a strong federal litigation background who can work independently on federal cases and provide in-depth legal analysis to strengthen our firm’s administrative-level strategies.
 
Primary Responsibilities:
<ul>
<li>Federal Immigration Litigation: Manage federal court cases involving complex immigration issues, including but not limited to:
<ul>
<li>Administrative Procedure Act (APA) challenges for unreasonable delays or wrongful denials.</li>
<li>Mandamus actions compelling federal agencies to perform owed duties within reasonable timeframes.</li>
<li>Habeas Corpus petitions challenging unlawful detentions by federal authorities.</li>
<li>Bivens actions and FTCA claims for constitutional or tortious violations by federal officers.</li>
</ul>
</li>
<li>Legal Support for Administrative Attorneys: Provide expert legal analysis and support through internal memos and research-based briefs on immigration issues affecting administrative cases. This includes analysis of custody issues, crimmigration cases, deportation-related legal challenges, and federal tort claims.</li>
<li>Internal Legal Opinions and Strategy: Draft detailed opinion memos on challenging legal questions, providing guidance to attorneys working on cases before agencies like EOIR, USCIS, and DHS. Develop and recommend strategies to support cases that may eventually lead to federal litigation.</li>
<li>Complex Legal Briefs: Draft, research, and prepare high-quality briefs and memoranda for federal litigation and provide additional guidance to administrative attorneys to enhance the firm’s case preparation and success rate.</li>
</ul>
 
 
&nbsp;Required Experience and Expertise: The successful candidate must be experienced in at least three of the following areas:
<ol>
<li>Administrative Procedure Act (APA) – Experience challenging agency actions that are arbitrary or unreasonably delayed.</li>
<li>Mandamus Act – Compelling action by federal agencies for non-discretionary duties owed to clients.</li>
<li>Habeas Corpus – Filing petitions to challenge unlawful detention in federal court.</li>
<li>Bivens Actions – Litigating constitutional violations by federal officers.</li>
<li>Federal Tort Claims Act (FTCA) – Pursuing damages for wrongful actions committed by federal employees in an immigration context.</li>
</ol>
Qualifications:
<ul>
<li>J.D. from an accredited law school; active bar membership in at least one U.S. state.</li>
<li>Minimum of 3-5 years of experience in federal immigration litigation.</li>
<li>Demonstrated expertise in drafting comprehensive legal briefs, opinion memos, and research-based internal memoranda for federal litigation support.</li>
<li>Excellent legal research, writing, and oral advocacy skills, particularly in federal court settings.</li>
<li>Strong ability to collaborate with administrative-level attorneys and provide legal support that enhances case outcomes.</li>
<li>High ethical standards, compassion for clients, and dedication to advancing immigrant rights.</li>
</ul>
 
Compensation details: 100000-150000 Yearly Salary
 
PIa7267c60f6bb-25405-38109286

Federal Immigration Litigation Attorney

<h3>Job Description</h3>
Job Description
Let’s do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
 Position Summary Analyze appeal data and develop reports following the technical specifications for reporting to accrediting and regulatory organizations, client groups, healthcare organization partners, and quality improvement committees. Provide back up for the Appeals Supervisor. Assist the supervisor in developing new and established appeal coordinators, to ensure best practices in grievance and appeal processing. Assist supervisor in special projects and assignments and participate in the recruitment of new staff. This is a FT WFH role.
 Pay Range $25.08- $28.21 hourly (depending on experience) **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
 Please fill out an application on our company page, linked below, to be considered for this position.
<a href="https://j.brt.mv/jb.do?reqGK=27755413&amp;refresh=true" target="_blank">https://j.brt.mv/jb.do?reqGK=27755413&amp;refresh=true</a> Benefits:
<ul>
<li>Medical, Dental, Vision, Pharmacy, Life, &amp; Disability</li>
<li>401K- Matching</li>
<li>FSA</li>
<li>Employee Assistance Program</li>
<li>PTO and Company Paid Holidays</li>
</ul>
 Required Skills, Experience &amp; Education:
<ul>
<li>College degree or equivalent work experience. </li>
<li>At least 2 years of experience as an Appeal Coordinator.</li>
<li>1 – 2 years of experience as a Sr Claim Support Specialist or Customer Service Rep. </li>
<li>Strong understanding of appeal utilization management and claims processing and administration workflows, ability to plan training for new appeal programs and projects, and measure compliance with state and federal requirements as well as with accreditation standards. </li>
<li>Understand large group and individual healthcare insurance dynamics and provisions, including funding types, benefit designs, stop loss and underwriting as well as Moda Health/ODS benefit administration policies.</li>
<li>Ability to instruct, motivate, direct individuals at various skill levels.</li>
<li>Working knowledge of accrediting standards and state and federal laws, governing member appeals. </li>
<li>Project management skills. Ability to track and coordinate multiple projects and meet timelines. </li>
<li>Strong analytical, problem-solving, and decision-making skills.</li>
<li>Ability to be effective in managing information flow in a fast-paced dynamic team environment; interact with all levels of management and prioritize and manage multiple tasks, projects, and deadlines. Self-directed and flexible. </li>
<li>Demonstrated strong verbal, writing and interpersonal communication skills. </li>
<li>Experience in maintaining, troubleshooting, and manipulating databases. </li>
<li>Adept in Microsoft Office Suite with strong Microsoft Excel and Access skills. Experience in basic query methods. </li>
<li>Ability to maintain confidentiality and projects a professional business image. </li>
<li>10 key proficiency of 100 kspm net on a computer numeric keypad. </li>
<li>Type a minimum of 25 wpm net on a computer keyboard. </li>
</ul>
 Primary Functions:
<ul>
<li>Analyze, interpret, and report appeal and grievance data to facilitate internal and external customer understanding of the reports and the impact to them. Evaluate significant and persistent claims issues for process improvement opportunities. </li>
<li>Collaborate with the Appeal supervisor to engage the appeal team of other departments in resolution of issues by taking corrective action. Monitor the effectiveness of corrective action with ongoing analysis appeal and grievance data. </li>
<li>Consults with internal and external customers to define grievance and appeal report requirements, develop technical specifications and design reports. </li>
<li>Build queries to extract data from the Access databases and other data sources. Ensure grievance and appeal reporting comply with the standards of state and federal regulatory agencies as well as that of accreditation entities. </li>
<li>Prepare and present appeal and grievance reports for quality committees and client groups. Interact with internal departments to ensure groups receive consistent, timely information. Provide ongoing customer support for existing reports. </li>
<li>Monitor data entry of member appeals into databases and perform quality checks to ensure accuracy in grievance and appeal reports. </li>
<li>Back up for the Appeal Supervisor. Assist supervisor to develop new and established appeal coordinators to ensure best practice in grievance and appeal processing. Assist supervisor in special projects and assignments and participate in the recruitment of new staff. </li>
<li>Perform systems training and retraining for appeal staff. </li>
<li>Train and coach new and established appeal staff on the processing for all appeal roles, lines of business and products. </li>
<li>Collaborate with supervisor on development of training materials and updates of policies and procedures. </li>
<li>Coordinate appeal workflows and make daily staffing assignments. </li>
<li>Audit acknowledgement and appeal final resolution letters. </li>
<li>Pull case files for the monthly Medicare Compliance audits. Review audit findings for process improvement and training. </li>
<li>Pull case files for monthly Part C and Part D audits, perform the audits, document results and report findings to Appeal leadership and staff. </li>
<li>Assume the lead role in developing the grievances and appeal report for the organization’s annual quality evaluation. </li>
<li>Ensure compliance with applicable state, federal and accrediting member appeal utilization management standards, quality assurance and quality improvement standards. Prepare for and participate in audits and reviews by external organizations, including the National Committee for Quality Assurance, coordinated care organizations, quality improvement organizations, the Centers for Medicaid and Medicare Services, the Oregon Health Authority and state insurance divisions. </li>
<li>Provides appeal and complaint input for the requests for proposals (RFP’s). </li>
<li>Complete ad hoc request as assigned. </li>
<li>Seek out and participate in growth and development activities. </li>
<li>Other duties as assigned.</li>
</ul>
 Working Conditions &amp; Contact with Others
<ul>
<li>Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.</li>
<li>Inside the company with all departments. Outside the company with state insurance divisions, provider offices, members, attorneys, quality assurance auditors, state and federal auditors, health plan accrediting bodies. </li>
</ul>
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler &amp; Danielle Baker via our <a href="mailto:humanresources@modahealth.com" target="_blank">humanresources@modahealth.com</a> email.
#INTONLY

Lead Appeal Coordinator - Internal Applicants Only

<h3>Job Description</h3>
Job DescriptionSalary: DOE 
APPEALS SPECIALIST
 
Do you like challenging payers?That feelingofsatisfactionwhen your appeal is overturned? Then, this position may be right for you!
 
CAF is in search of an experienced Appeals Specialist who is well versed in challenginginsurance denials,utilizing payer guidelines and applicable state laws.The ideal candidate must have the ability to multitask, meet goals and work well individually andwithothers on special projects and individualworkloads.
 
RESPONSIBILITIES:
<ul>
<li>Developing well-supported appeal arguments, where an appeal iswarranted.</li>
<li>Work with and contact insurance companies to resubmit denied/underpaid claims that are inaccurately processed and continually upheld.</li>
</ul>
<ul>
<li>Notate system of record thoroughly and accurately.</li>
<li>Filing complaints and grievances through the DMHC, DOI, DOL, CMS and Medicaid systems to resolve unfair payment practices and trends.</li>
<li>Filing complaints to the jurisdiction of HMO, PPO, ERISA,Medicareand Medicaid agencies when claims are denied in error.</li>
<li>Perform follow up on any outstanding claims,manage correspondence and requests and research denials and zero payments.</li>
</ul>
 
MINIMUM REQUIREMENTS/QUALIFICATIONS:
<ul>
<li>3 to 5+yearsofrecentexperience writing insurance appeals and pursuing payers for collectionon behalf of hospitals (facility charges).</li>
<li>Understanding of medical terminology, bill review, general coding, and appeals resolution.</li>
<li>Ability to read, analyze, and interpret hospital medical bills, records, statutes, contracts,and other relevant documents.</li>
<li>Knowledge of medical necessity, time filing, UCR and contract denials.</li>
<li>High comfort level with Excel</li>
</ul>
<ul>
<li>A focused, organized, and detail-oriented approach to work.</li>
<li>50+ wpm</li>
<li>Knowledge ofMilliman/InterQual guidelines</li>
<li>Excellent oral and written communication skills.</li>
<li>Ability to pass a thorough background check and drug screen.</li>
</ul>
<ul>
<li>Ability to perform critical work under deadlines.</li>
<li>Ability to work in a changing environment and handle multipletasks</li>
</ul>
 
PREFERRED (NOT REQUIRED):
<ul>
<li>Compiling appeals and collecting for hospital/facility componentwith general knowledge of insurance follow-up</li>
<li>Experience with billing and collection systems such as CUBS, Meditech, Cerner etc.</li>
</ul>
 
ABOUT CAF:
CAF is a fast-growing revenue cycle agency exclusively serving hospitals, and conveniently located at the intersection of the 405 and 110 freeways. We utilize amazing customer service to help hospitals bill, service and collect more of the money they are due, so they may continue to provide critical healthcare services to their patients. Our team members strive to be better every single day, to do quality work, and to make a lasting impact on their lives and the lives of others.
COMPENSATION &amp; BENEFITS
Full-time position. Pay commensurate with experience. Paid training. Generous paid vacation, holidays, 401k, Aflac supplemental insurance (at employee expense), and monthly bonus opportunities for those who qualify. No company paid medical benefits at this time. Plenty of growth opportunities for friendly, focused, results-driven people.

Appeals Specialist

<h3>Job Description</h3>
Job DescriptionBe the Game-Changer. Build Your Career Where You Truly Matter.
$20,000 Loyalty Incentive | Hybrid Flexibility | Elite Firm Culture
Our VIP client—a nationally recognized, award-winning family law firm—is expanding its footprint in Columbus, Georgia, and seeks a high-performing Associate Attorney to join their litigation team.
This is more than a position. It’s your opportunity to take the lead on impactful cases, advance within a mission-driven firm, and practice with a team that values excellence, balance, and long-term commitment.
Why This Role Stands Out:
To support our expansion and recognize attorneys who grow with the firm, we’re offering a $20,000 Loyalty Incentive to select candidates joining the Columbus office.
This is not a signing bonus—it’s an investment in your future and recognition of your commitment to doing exceptional work in a thriving market.
In This Role, You Will:
<ul>
<li>
Lead family law cases from start to resolution, including direct client interaction
</li>
<li>
Manage litigation, negotiation, and court appearances with autonomy
</li>
<li>
Work closely with senior attorneys and partners in a collaborative, high-performing team
</li>
<li>
Continue to refine your advocacy, mediation, and trial strategies
</li>
</ul>
What You Bring:
<ul>
<li>
Active Georgia Bar License (required)
</li>
<li>
1–3 years of family law or litigation experience preferred
</li>
<li>
Clear, compassionate communication with clients
</li>
<li>
A strong litigation mindset with attention to detail
</li>
<li>
Bilingual (Spanish) is a valued asset, but not required
</li>
</ul>
Compensation &amp; Benefits Include:
<ul>
<li>
$20,000 Loyalty Incentive for relocation and long-term engagement
</li>
<li>
Competitive Salary: $80,000–$120,000, based on experience
</li>
<li>
Performance-Based Bonuses aligned with results
</li>
<li>
Hybrid Work Flexibility to support balance and productivity
</li>
<li>
Comprehensive Benefits: Health, dental, vision, life insurance, 401(k) with match
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Generous Paid Time Off, firm holidays, and wellness days
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Ongoing CLE Support and professional development
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Why Join This Firm?
Our client is not just a law firm—it’s a values-driven practice where attorneys grow, careers thrive, and clients are truly seen.
Known for its unwavering commitment to:
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Compassion toward clients and team members
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Service through exceptional legal advocacy
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Integrity as a daily standard
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Innovation in every approach
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Teamwork built on respect and collaboration
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Excellence at every level of representation
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You’ll find a firm culture that encourages autonomy, supports your long-term goals, and celebrates success—both in and out of the courtroom.
Ready for a Career That Matters?
If you’re ready to:
 Make a strategic move to a dynamic, growth-centered market Join a top-tier family law firm where loyalty is rewarded Practice law with purpose and balance
Apply now. We want to hear from you.
Job Type: Full-Time Location: Columbus, GA Schedule: Monday–Friday | Hybrid Flexibility

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