Program Manager, Housing Solutions
Enterprise Community Partners
Paralegal - Case Specialist II, Estate Recovery Program
SoundCloud
full-time
Posted on:
Origin: • 🇺🇸 United States • Massachusetts
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Under the general direction of the Specialty Programs Unit Manager, serve as a resource to the Center for Healthcare Financing (CHCF) staff primarily in matters concerning estate recovery
- Ensure the integrity of collection outcomes, according to federal and state estate recovery regulations
- Refine and enhance current operations, implementing methods to identify new cases, verify claims and recover payments paid by Medicaid or other state funded programs
- Research, maintain and understand compilation of all Federal and State statutes and regulations pertaining to Third Party and Estate Recovery
- Maintain an assigned caseload following established protocols
- Identify benefits paid by Medicaid and calculate total value to be recovered in each case
- Represent the best interest of the Medicaid program consistent with CHCF goals and objectives
- Request and produce claims history printouts including all service reports from Medicaid history databases
- Investigate and document all case related matters and relevant financial and medical history to support claims against probate estates or third party settlements
- Provide training to support staff and maintain/update Recovery training manual
- Maintain all case records as required for established time periods
- Communicate and collaborate with probate courts, attorneys, hospitals, insurance companies and other relevant entities
- Conduct legal research using public databases and web applications and prepare legal memoranda 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
Requirements
- Bachelor’s 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
- Third Party Recovery or collections experience (preferred)
- Paralegal degree (preferred)
- Proficient in Probate and Real Estate Law, Wills and Trusts, Chain of title research and insurance regulations pertaining to Medicaid qualifying annuities (preferred)
- 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 (preferred)
- 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 (preferred)
- Ability to track and organize the recording of Medicaid liens in Registry of Deeds (preferred)
- Understand HUD settlement statements, state and federal taxes, appraisals, priority of liens and creditors, comparative market analysis, and probate-related appointments (preferred)
