The Auctus Group
Who we are:
The Auctus Group is a rapidly growing, AI-powered medical billing company at the forefront of transforming healthcare reimbursement. We combine advanced technology with expert insight to streamline claims management, reduce denials, and maximize revenue recovery for healthcare providers nationwide. As we scale, we're seeking a dynamic In-House Counsel to lead a revenue generating legal business unit focused on appeals and IDR, as well as guide us through the complex regulatory and legal landscape of healthcare claims. Who we’re looking for:
Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if: you like a fast-paced environment, you thrive with change and development, you like giving feedback, you’re a team player, you love learning/sleuthing, you’re big on accountability. About this role:
As In-House Counsel, you will oversee the legal aspects of our revenue cycle operations, including aged claims, appeals, Independent Dispute Resolution (IDR) processes, payer negotiations, and compliance with healthcare reimbursement laws and payer policies. This key strategic role blends legal expertise with practical business and operational understanding. Key Responsibilities: Aged Claims & Appeals: Advise on the legal strategy for recovering aged and denied claims. Draft escalated appeal letters and responses to payers and third-party administrators. Monitor appeal timelines and support escalation as needed. IDR Billing & Dispute Resolution: Lead and manage Independent Dispute Resolution (IDR) processes under federal and state regulations (e.g., No Surprises Act). Collaborate with operations and client success teams to assess IDR eligibility, prepare filings, and advocate on behalf of provider clients. Regulatory & Compliance Oversight: Ensure compliance with federal, state, and payer-specific reimbursement regulations. Provide guidance on HIPAA, ERISA, and other applicable healthcare laws.
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The Auctus Group is a rapidly growing, AI-powered medical billing company at the forefront of transforming healthcare reimbursement. We combine advanced technology with expert insight to streamline claims management, reduce denials, and maximize revenue recovery for healthcare providers nationwide. As we scale, we're seeking a dynamic In-House Counsel to lead a revenue generating legal business unit focused on appeals and IDR, as well as guide us through the complex regulatory and legal landscape of healthcare claims. Who we’re looking for:
Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if: you like a fast-paced environment, you thrive with change and development, you like giving feedback, you’re a team player, you love learning/sleuthing, you’re big on accountability. About this role:
As In-House Counsel, you will oversee the legal aspects of our revenue cycle operations, including aged claims, appeals, Independent Dispute Resolution (IDR) processes, payer negotiations, and compliance with healthcare reimbursement laws and payer policies. This key strategic role blends legal expertise with practical business and operational understanding. Key Responsibilities: Aged Claims & Appeals: Advise on the legal strategy for recovering aged and denied claims. Draft escalated appeal letters and responses to payers and third-party administrators. Monitor appeal timelines and support escalation as needed. IDR Billing & Dispute Resolution: Lead and manage Independent Dispute Resolution (IDR) processes under federal and state regulations (e.g., No Surprises Act). Collaborate with operations and client success teams to assess IDR eligibility, prepare filings, and advocate on behalf of provider clients. Regulatory & Compliance Oversight: Ensure compliance with federal, state, and payer-specific reimbursement regulations. Provide guidance on HIPAA, ERISA, and other applicable healthcare laws.
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