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Entry level personal injury defense paralegal for mid size law firm - hybrid position
The RCM Insurance Arbitration Support Paralegal will join our dedicated out-of-network team, focusing on fully supporting the arbitration process for state and federal cases while maximizing reimbursements from out-of-network payers. This critical role involves managing arbitration processes when major payers are pushed out of network and supporting the team in handling all out-of-network claims to ensure appropriate claim processing by the insurance companies. Key responsibilities include preparing and overseeing arbitration cases, negotiating non-arbitrated disputes to secure maximum payments, and providing essential support to the Managed Care team during payer negotiations. The ideal candidate will possess strong organizational and legal research skills, along with a deep understanding of insurance claims and healthcare reimbursement. RESPONSIBILITIES Arbitration Support: Assist in preparing and managing the arbitration process for out-of-network claims, including gathering necessary documentation, drafting legal correspondence, and coordinating with external legal counsel as needed. Ensure compliance with state and federal arbitration regulations. Dispute Resolution: Handle other out-of-network disputes that do not result in arbitration by negotiating with payers to process claims at maximum reimbursements. Collaborate with the out-of-network team to prepare and submit appeal letters and follow up on denied or underpaid claims to ensure optimal financial outcomes. Provide guidance on tactics for maneuvering the landscape for major markets. Managed Care Support: Collaborate with the Managed Care team to provide guidance on applicable state and federal guidelines for arbitration when major payers move to out-of-network status. Documentation and Compliance: Maintain accurate and up-to-date records of all arbitration and dispute cases. Ensure that all activities are following relevant laws, regulations, and organizational policies. Legal Research: Conduct legal research on state and federal arbitration laws and regulations to support case preparation and strategy. Stay updated on changes in healthcare and insurance laws that may impact arbitration and dispute processes. REQUIRED QUALIFICATIONS Bachelor's Degree preferred and Paralegal Certificate required. Minimum of three years of related experience with Litigation Healthcare Insurance law, No Surprise Act claims and arbitrations. Strong skills in data mining and is a detail researcher with fact-checking. Ability to recognize and analyze complex contracting issues and discuss such issues with in-house attorneys and internal departments. Excellent written and verbal communication skills. High level of professionalism, dependability, and strong interpersonal skills. Ability to work independently and efficiently in a fast-paced, deadline-driven business environment, with a high focus on accuracy. High level of proficiency with Apttus, MS Office products, including Word, Excel, and SharePoint.
We are seeking a highly-motivated, professional, and reliable individual to fulfill a Paralegal position in the Workers’ Compensation Department of an established Glendale, Queens Office. Central daily responsibilities include: Heavy volume client communication; periodic file reviews; hearing preparation; follow-up on carrier payments; evaluation of case status; follow-up on medical requests with doctor’s offices; coordinating medical care and determining status of client treatment; filing of fee applications; contact with claim’s adjusters; drafting of correspondence to all appropriate parties; and explanation of detailed legal issues to clients. The ability to handle heavy call volume with outstanding customer service skills is imperative in maintaining this position. The ability to set priorities and successfully manage any changes in priority is required. The ideal candidate for this position enjoys strong client contact and communication. You must enjoy working on the phone, as that is critical your success and enjoyment at this firm. The ideal candidate must possess the following attributes: •Knowledge of Workers’ Compensation law; •Ability to communicate clearly and effectively with a variety of individuals; •Strong customer service skills and excellent telephone manner; •Supreme organizational skills; •Ability to work independently and maintain accuracy in a fast-paced work environment; •Ability to multi-task and appropriately manage time and responsibilities; •Ability to maintain and coordinate numerous records and files; •Professionalism; •Ability to communicate effectively with in-office executives; and •Dependability Prior experience as a Workers’ Compensation paralegal is a MUST. Fluency in Spanish is preferred. We are willing to hire the right individual immediately. Pay is competitive and commensurate with experience.
Attorney or Paralegal wanted for drafting motions / pleadings / research to work with a minority solo practitioner, reply with your areas of experience. Areas of practice are ; landlord and tenant, real estate, immigration and foreclosure defense. Start next week. FT or PT
We are seeking a detail-oriented Administrative Assistant to join our team in the Madison, NJ Office. The ideal candidate will perform general administrative duties, including scheduling, calendaring deadlines, and mailings, while also engaging in some light paralegal work. Responsibilities will involve interacting with internal filing and case management software, drafting notices, and supporting the overall efficiency of the office. Key Responsibilities: Manage scheduling and calendar for deadlines and appointments Assist with drafting documents and notices Handle mailings and general office correspondence Support paralegal tasks as needed Employment Type: Full-time and part-time options available.