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We are looking for a combination super paralegal, assistant office manager and all-purpose admin aide. The ideal candidate could be pursuing a career in the arts or even be considering applying to law school but first planning to spend some time in New York City pursuing other interests (fame and fortune?). This position would integrate you into all aspects of our law practice and offers an alternative to large firm paralegal work. Smarts and flexibility are our principal needs. Our attorneys are large law firm alumnae/i. We roll up our sleeves, work hard and get great satisfaction from our work. We focus on commercial cases and counseling in complex business and financial matters. We represent parties in high-stakes litigation and rely on all members of our team to produce at the highest level. Some of our recent work: We have represented 344 former Lehman Brothers executives who retired years ago in their 12+-year effort to recover $270 million in pensions they purchased in the 1980s (blocked by the Lehman bankruptcy since 2008). The firm represents the Duke Ellington Estate in ongoing efforts to collect unpaid royalties, generally manage the Estate’s intellectual property rights and licensing projects, work toward a feature film to be made about Duke’s life and assist the ongoing operation of the Duke Ellington Orchestra which continues today under the overall direction of Duke’s grandson. In an interesting departure from the mainstream, the firm has been representing a client seeking to collect a multi-million dollar judgment from Martin Shkreli, the notorious Pharma Bro. We thrive on variety. The following skills are essential (or at least helpful): – a knack for computer problem solving – proficiency with Word software – an excellent sense of humor – the ability to work under pressure and meet or beat deadlines, while retaining your excellent sense of humor – and – – an excellent sense of humor This position is for in-office work. It is a full-time position, but with room for some degree of flexibility, especially to accommodate occasional needs for time during the business day to continue in the pursuit of other serious pursuits. This job is by no means for everyone but is ideal for a very intelligent person with good skills and great common sense. The environment is conducive to giving great responsibility to those who are up to the task.
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.