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For Companies At a Glance
- Tasks: Assist in estate recovery, manage caseloads, and conduct legal research.
- Company: Join ForHealth Consulting at UMass Chan Medical School, a leader in healthcare financing.
- Benefits: Enjoy a hybrid work model, competitive salary, and professional development opportunities.
- Why this job: Make a real impact in healthcare while gaining valuable legal experience in a supportive environment.
- Qualifications: Bachelor's degree, paralegal certificate, and 3 years of related experience required.
- Other info: Opportunity to collaborate with various legal and healthcare professionals.
The predicted salary is between 36000 - 60000 £ per year.
Overview
Paralegal – Case Specialist II, Estate Recovery Program (Hybrid) role at ForHealth Consulting at UMass Chan Medical School.
Under the general direction of the Specialty Programs Unit Manager, the Specialist II serves as a resource to the Center for Healthcare Financing (CHCF) staff primarily in matters concerning estate recovery. This individual will ensure the integrity of collection outcomes, according to federal and state estate recovery regulations.
Responsibilities
- Continue to refine and enhance current operations, implementing innovative methods to identify new cases, verify claims and recover payments originally paid by Medicaid and/or other state funded programs based on federal and state statutes and regulations.
- Research, maintain and understand compilation of all Federal and State statutes and regulations pertaining to Third Party and Estate Recovery to ensure Medicaid is the payer of last resort.
- Maintain a caseload as assigned, following established protocols.
- Identify benefits paid by Medicaid and calculate the total value to be recovered in each case.
- Represent the best interest of the Medicaid program consistent with the goals and objectives of CHCF.
- Request and produce claims history printouts including all service reports from Medicaid history databases for recipient payment history.
- Investigate and document all case related matters and relevant financial and medical history in order to support a claim against the probate estate or third party settlements of a Medicaid member.
- Provide training of support staff.
- Maintain and update Recovery training manual.
- Maintain all case records as required for an established time period.
- Communicate and collaborate with probate courts, attorneys, hospitals, insurance companies and other relevant entities to ensure all Medicaid related Estate Recovery cases are referred to the unit and processed accordingly.
- Conduct legal research through the use of public databases and web based applications and prepare legal memoranda and other case related documents for referral to Medicaid EHS legal department.
- Research record of ownership and title of real estate at the Registry of Deeds.
- Perform other job related duties as required or assigned.
Required Qualifications
- Bachelors Degree in Business Administration or equivalent experience
- 3 years related experience
- Paralegal certificate
- Strong oral and written communication skills
- Knowledgeable of Massachusetts Statutes as it relates to Estate Recovery
- Understanding of Medicaid regulations as they govern eligibility requirements
- Proficient in Microsoft Office, web based solutions and scanning software
- Effective negotiation skills
Preferred Qualifications
- Third Party Recovery or collections experience
- Paralegal degree
- Proficient in Probate and Real Estate Law, Wills and Trusts, Chain of title research and insurance regulations pertaining to Medicaid qualifying annuities
- Possess a thorough understanding and knowledge of the state and federal laws and the procedures relating to the recovery of medical assistance for members receiving Medicaid benefits
- Previous experience communicating professionally and effectively with Board of Hearings (BOH) personnel, enrollment centers staff and managers, family and/or legal representatives of Medicaid members and the general public
- Ability to track and organize the recording of Medicaid liens in Registry of Deeds
- Understand HUD settlement statements, state and federal taxes, appraisals, priority of liens and creditors, comparative market analysis, and probate-related appointments
The University of Massachusetts Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.
Job Details
- Seniority level: Not Applicable
- Employment type: Full-time
- Job function: Legal
- Industries: Research Services
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Paralegal - Case Specialist II, Estate Recovery Program (Hybrid) employer: ForHealth Consulting at UMass Chan Medical School
Contact Detail:
ForHealth Consulting at UMass Chan Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Paralegal - Case Specialist II, Estate Recovery Program (Hybrid)
✨Tip Number 1
Familiarise yourself with Massachusetts estate recovery laws and Medicaid regulations. Understanding these legal frameworks will not only help you in interviews but also demonstrate your commitment to the role.
✨Tip Number 2
Network with professionals in the legal and healthcare financing sectors. Attend relevant workshops or webinars to connect with individuals who can provide insights into the role and potentially refer you to opportunities.
✨Tip Number 3
Prepare to discuss your experience with case management and any relevant software tools during the interview. Highlight specific examples where you've successfully managed caseloads or navigated complex regulations.
✨Tip Number 4
Showcase your communication skills by preparing questions for the interview that reflect your understanding of the role's responsibilities. This will demonstrate your proactive approach and genuine interest in the position.
We think you need these skills to ace Paralegal - Case Specialist II, Estate Recovery Program (Hybrid)
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities and qualifications required for the Paralegal - Case Specialist II position. Familiarise yourself with estate recovery regulations and Medicaid processes to tailor your application effectively.
Tailor Your CV: Highlight relevant experience in your CV, especially any work related to estate recovery, Medicaid, or legal research. Use specific examples that demonstrate your skills in communication, negotiation, and case management.
Craft a Strong Cover Letter: Write a compelling cover letter that explains why you are a great fit for this role. Mention your understanding of Massachusetts statutes and your experience with Medicaid regulations. Show enthusiasm for the opportunity to contribute to the Centre for Healthcare Financing.
Proofread Your Application: Before submitting, carefully proofread your CV and cover letter for any spelling or grammatical errors. A polished application reflects your attention to detail, which is crucial for a paralegal role.
How to prepare for a job interview at ForHealth Consulting at UMass Chan Medical School
✨Know Your Regulations
Familiarise yourself with both federal and state estate recovery regulations. Being able to discuss specific statutes and how they apply to the role will demonstrate your expertise and commitment to the position.
✨Showcase Your Communication Skills
As a Paralegal, effective communication is key. Prepare examples of how you've successfully communicated with various stakeholders, such as attorneys or probate courts, to highlight your ability to collaborate and negotiate.
✨Demonstrate Your Research Abilities
Be ready to discuss your experience with legal research, especially in relation to Medicaid and estate recovery. Mention any tools or databases you’ve used and how you’ve applied your findings in past roles.
✨Prepare for Case Management Questions
Expect questions about how you manage a caseload and maintain records. Have specific examples ready that showcase your organisational skills and attention to detail, particularly in handling sensitive information.
