JOB DESCRIPTION

The client is seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying
appeals that are prime for outreach, conducting outreach to explain the position of the state or obtain further information to assist in the processing of appeals. The Appeals Litigation LEGAL ASSISTANT Representative will document actions in TEDS (& other systems) when necessary. Additionally, the Appeals Litigation LEGAL ASSISTANT Representative will ensure that due process standards are met in Medicaid appeals by the accurate and timely processing of appeals and all appeals related documents. Finally, the Appeals Litigation LEGAL ASSISTANT Representative will also work collaboratively with management to identify workflow issues and accomplishments.

REQUIREMENTS AND SKILLS:

• Education and Experience: Graduation from an accredited college or university with a bachelor’s degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience. OR an equivalent combination of education and work experience may be considered.
• Ability to foster and maintain cohesive working relationships
• Ability to adapt to changing priorities and deadlines
• Ability to exercise sound judgment
• Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific time frames and deadlines
• Advanced writing and communication skills
  Job Types: Full-time, Contract
  Pay: $25.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• This 1099 contract does not entail any benefits. Do you accept?
• The mentioned rate is the best we have for this role and is non negotiable. Do you accept?
• Please let me know a good time to contact you weekdays.
• Kindly mention your current City, State of residence.
• Please share your email address for further communication.

Education:

• Bachelor’s (Required)

Experience:

• Legal administrative: 1 year (Preferred)

Work Location: In perso

KEY RESPONSIBILITIES:

• Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review.
• Assist in the achievement of a high performing and positive work environment that will promote the client Mission.
• Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach.
• Conduct outreach to explain the state’s actions related to Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary.
• Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing.
• Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements. Ability to navigate TEDS.