Healthcare Reimbursement Attorney

Job Title: Healthcare Reimbursement Attorney

Job Overview: A well-established law firm in Greenville, SC, is seeking an experienced Healthcare Reimbursement Attorney to join its growing team. This role offers an exciting opportunity to provide legal counsel to a diverse set of clients in the healthcare industry, including hospitals, physicians, and healthcare providers, while ensuring compliance with complex healthcare regulations. The ideal candidate will bring a strong background in advising on billing, reimbursement, and federal fraud laws.

Duties:

• Advise healthcare providers, including hospitals, physicians, and medical centers, on compliance with healthcare billing and reimbursement regulations.
• Provide guidance on Medicare, Medicaid, VA/Tricare, and private payor billing and reimbursement requirements.
• Interpret and advise on federal healthcare fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and False Claims Act.
• Assist clients in structuring business relationships to ensure compliance with healthcare laws and regulations.
• Support clients with enrollment and claims submission processes to mitigate the risk of regulatory violations.
• Offer strategic counsel on policy developments, healthcare reform, and reimbursement changes.
• Represent clients in regulatory investigations and audits related to healthcare reimbursement practices.

Requirements:

• Minimum of 10 years of experience advising clients or engaging in policymaking related to healthcare reimbursement and billing.
• Strong knowledge of Medicare, Medicaid, and VA/Tricare programs.
• In-depth understanding of federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and the False Claims Act.
• Experience in healthcare regulatory compliance and working with healthcare providers in a legal capacity.
• Ability to navigate complex healthcare reimbursement issues, including private payors.

Education:

• Juris Doctor (JD) from an accredited law school.

Certifications:

• Active State Bar membership in good standing in SC.

Skills:

• Excellent communication skills, with the ability to explain complex legal concepts to non-lawyers.
• Strong problem-solving and critical-thinking skills.
• Ability to build and maintain client relationships.
• Attention to detail and strong organizational skills.
• Experience with healthcare providers, including hospitals, physician practices, home health agencies, and skilled nursing facilities.

Job Location:

• Greenville, SC

As a well respected law firm, the attorneys here have represented some of the largest clients. Their areas of practice include education, energy, health care, financial services, manufacturing, real estate, and more. Their offices are located Georgia, North and South Carolina, and Washington DC.