Posted in

Paralegal – Hybrid

Paralegal – Hybrid

CompanyHealthfirst
LocationNew York, NY, USA
Salary$59800 – $95680
TypeFull-Time
DegreesBachelor’s
Experience LevelJunior

Requirements

  • Bachelor’s degree from an accredited institution
  • Excellent oral and written communication skills
  • Familiarity with Microsoft Office, Excel and SharePoint
  • Related experience as a paralegal in a law firm and/or corporate legal department or managed care organization
  • Strong organizational skills and the ability to manage multiple deliverables

Responsibilities

  • Providing support to in-house legal counsel or the organization’s attorney to address legal issues
  • Reviewing and logging Fair Hearing notices; compiles and coordinates assembly of documentation supporting actions taken by the Plan
  • Assisting in handling, preparing, coordinating, and attending scheduled Fair Hearings on behalf of the Plan
  • Working with internal departments to coordinate and improve workflows related to the fair hearings and plan denials
  • Preparing legal documents such as settlement agreements, contracts, evidence packets
  • Reporting directly to in-house legal counsel or attorney
  • Reviewing legal notices and directing to appropriate attorney or business unit for review and/or action
  • Reviewing documentation and formulates argument supporting Plan action
  • Additional duties as assigned

Preferred Qualifications

  • Understanding of the Medicaid/Medicare programs and the Fair Hearing process