Healthcare Paralegal Specialist OR Senior Paralegal Specialist

13-18 yrs required

Full-time

No

Healthcare Paralegal Specialist OR Senior Paralegal Specialist

At Law Firm, we know that diverse backgrounds produce different perspectives, richer thinking, and more creative solutions to the challenges our clients face. We hope you share that vision. Join us and take on the challenge of doing meaningful work while helping us build a culture that reflects our dedication to diversity, equity, and inclusion.

JOB TITLE: Healthcare Paralegal Specialist OR Senior Paralegal Specialist

DEPARTMENT: Department

REPORTS TO: Paralegal Manager

FLSA CLASSIFICATION: Non-Exempt

LOCATION: This position is available in the following office location(s) – DC

JOB SUMMARY

This position works under the direct supervision a lawyer and provides the lawyer substantive legal services. A lawyer may delegate any task normally performed by a lawyer to a Paralegal Specialist, except those tasks prohibited to a non-lawyer by statute, court rule, administrative rule or regulation, controlling authority, the applicable rule of professional conduct of the jurisdiction in which the lawyer practices, or the ABA Guidelines for the Utilization of Paralegal Services.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Healthcare:

Assist with matters for our healthcare provider clients involving managed care issues, benefits, contracts, and payment disputes.
Project management, including preparing status reports, tracking progress, and ensuring deadline compliance.
Support a team of attorneys handling disputes between health care providers and health insurers, health benefit plans, and health care networks.
Interface directly with clients concerning matter management, information requests, and filings.
Organize and manage data, documents, and historical case information, including maintenance and upkeep of our case management database.
Assist with administrative claims and appeals of adverse benefit determinations and improper medical claims processing.
Assist with disputes relating to patient health care coverage, eligibility, termination/rescissions, Medicare coordination of benefits, and Medicare entitlement.
Handle frequent communication and coordination among attorneys and clients, both orally and in writing.
Establish secure file transfers and coordinate with the client and experts for the transmission of confidential and/or HIPAA-protected documents.
Experience in health care and/or medical claims coding would be a huge plus, but not required.

General:

Drafts, analyzes, and prepares legal documents for a supervising lawyer or supervising paralegal.
Coordinates legal projects and communicates legal information for a supervising lawyer or supervising paralegal.
Prepare draft communications for a supervising lawyer or supervising paralegal.
Collects, evaluates and summarizes relevant facts and legal concepts for a supervising lawyer or supervising paralegal.
Attends client meetings, coordination meetings, and legal proceedings with a supervising lawyer or supervising paralegal.
Provides legal project management for a legal matter for a supervising lawyer or supervising paralegal.
Supervises Project Assistants, Paralegals and Senior Paralegals on assigned tasks.
Maintains notary license in local jurisdiction.
Follows all supervising lawyer or supervising paralegal instructions.

OTHER DUTIES AND RESPONSIBILITIES

Maintains accurate and appropriate time records regarding hours spent working for clients, working for the Firm, and working on administrative tasks.
Meets all time entry and timesheet deadlines specified by the Firm, the Paralegal Department, and the Accounting Department.
Bills a minimum of 1,536 creditable hours each performance evaluation year that begins April 1 and ends March 31 of which a minimum of 1,416 of those hours are client billable hours.
Limits approved pro bono hours and approved firm representation hours to a maximum of 120 total hours during each performance evaluation year.
Works a predictable schedule, and also provides flexibility in daily schedule to meet Firm’s needs during periods of heavy workload.
Timely notifies both supervising lawyers, supervising paralegals, and the Paralegal Manager of any time out of the office during normal work hours.
Reports the receipt of non-billable work to the Paralegal Manager upon receipt.
Avoids overtime for non-billable assignments.
Contacts supervising lawyers, supervising paralegals and Paralegal Manager when available for new assignments.
Accepts accountability and responsibility for all work assignments.
Adheres to The National Federation of Paralegal Association’s “Model Code of Ethics and Professional Responsibility.”
Attends relevant legal education to continuously improve legal skills.

MINIMUM QUALIFICATIONS

Knowledge/Skills/Abilities:

Excellent verbal and written communication skills.
Understanding of legal processes and practice-group specific procedures.
Excellent interpersonal, team, and customer service skills.
Excellent attention to detail.
Excellent organizational and time management skills with a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Ability to function well in a high-paced, and at times, stressful environment.
Ability to maintain confidentiality, and to exercise discretion and good judgment.
Proficient with Microsoft Office Suite

Excellent verbal and written communication skills, Understanding of legal processes and practice-group specific procedures, Excellent interpersonal, team, and customer service skills, Excellent attention to detail, Excellent organizational and time management skills with a proven ability to meet deadlines, Strong analytical and problem-solving skills, Ability to function well in a high-paced, and at times, stressful environment, Ability to maintain confidentiality, and to exercise discretion and good judgment, Proficient with Microsoft Office Suite and practice-group specific software

Bachelor’s Degree or Paralegal Certification from ABA approved program required

Please visit our website at for more information on how to apply.

Qualification and Experience Bachelor’s Degree or Paralegal Certification from ABA approved program required, 18+ years relevant experience required for Senior Paralegal Specialists, 13+ years relevant experience required for Paralegal Specialists, Experience in Project Management, Medical Billing, HIPAA procedures, Health Insurance/Medicare Plans, and Health Insurance/Medicare Claims required, Experience in health care and/or medical claims coding preferred

Legal