Legal Support Representative

Who We Are:

H-Wave is a company that is “All-In”. We are “All-In” for our patient outcomes, family, and are passionate about what we do and our fight towards ending the Opioid Crisis. H-Wave believes in the value of the lives of our patients as we manufacture a multi-functional electrical stimulation device intended to speed recovery, restore function, and manage chronic, acute, or post-operative pain. It is a non-invasive drug-free alternative treatment option without harmful side effects.

We are a family-owned business providing life changing pain relief for 40 years and we treat our patients and employees like family. In addition to patient outcome, employee satisfaction is a top priority, and we strive to keep our work culture fun, rewarding, and motivating.

Because we are “All-In” in everything that we get to do, and we are looking for people who will be as passionate about our product, service, and work environment as we are!

The Opportunity:

The Legal Support Representative will litigate claims that Account Settlement Reps are unable to settle in-house. This person will also assist the legal support lead with questions and authority from outside hearing reps.

If this sounds like something you are interest in, please apply to this posting.

Responsibilities:

  • Work with Payors, (insurance adjusters, nurse case managers and attorneys) and develop/cultivate strong relationships with all customers.
  • Educate payors on the H-Wave Unit.
  • Receive incoming mail, review, and determine if an action or response is required to be made in a timely fashion.
  • Review explanation of reviews/benefits and bill codes to ensure proper codes for payment.
  • Maintains up to date knowledge of the TotalCare program, and proactively uses selling and negotiation skills to identify eligibility , and communicate program benefits to the customers.
  • Regularly follow up on settlements and confirm payments are received.
  • Ensure accuracy in billing by reviewing client accounts.
  • Review accounts and identify trends with specific insurance carriers, states, and employers.
  • Navigate difficult conversations with adjuster/payors.
  • Maintains thorough knowledge of our pricing agreements.
  • Maintain up to date knowledge of medical and legal terminology applicable to vertical markets for WC and Auto Claims.
  • Maintain up to date knowledge on state labor codes and guidelines to include: Laws governing collection efforts for durable medical equipment (H-Wave) and continued education workshops to gain more skills yearly.
  • Delivers excellent customer service and meets the needs of all our customers while executing high volumes calls.
  • Effectively build rapport and have thorough knowledge of the clients claim to effectively negotiate balances.
  • Follow up on court settlements and ensure payment is received, or file DOR on unpaid settlements
  • Subject matter expert and main point of contact the Northwest-South West Region’s legal issues and questions to include: labor codes, California Code of Regulations, attorney communications, on bank decisions, notice of intentions and requests for information.
  • Hearing Representative second point of contact for reps at the board. Requests for additional documentation, cross referencing information that defense is alleging, receives calls settlement authority,
  • Reviews pre-trial conference statements, write out stipulations and issues for matter to be set for trial.
  • Qualifications:
  • Highschool Diploma or GED
  • Exceptional teamwork, interpersonal, and communication skills (verbal and written)
  • Must be customer service oriented, diplomatic, motivated, and able to work and problem solve resourcefully and independently.
  • Background in a legal field is strongly preferred
  • High attention to detail, strong organizational and multi-tasking skills, proactive, positive, strong follow-through, team player, and highly professional
  • Excited and motivated by working in a fast-paced, fun environment.

Benefits:

  • Benefits:
    • Family focused company with a strong team environment at a purpose-driven company
    • Matching 401k
    • Health/Life Insurance
    • Optional Dental/Vision
    • Paid Vacation
    • Pay Starting From $19.00
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