Paralegal – Estate Recovery Program
SoundCloud
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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 insure 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.
Requirements
- Bachelor’s Degree in Business Administration or equivalent experience
- 3 years related experience
- Paralegal certificate or equivalent experience working under a licensed attorney or in an equivalent legal setting
- 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)
- Previous experience communicating 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)
Benefits
- remote work environment with state benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Estate RecoveryMedicaid regulationsProbate LawReal Estate LawWills and TrustsChain of title researchInsurance regulationsLegal researchClaims history analysisNegotiation
Soft skills
Oral communicationWritten communicationCollaborationTrainingOrganizationAttention to detailProblem-solvingInterpersonal skillsTime managementEffective negotiation
Certifications
Bachelor’s Degree in Business AdministrationParalegal certificateParalegal degree