Job Details:
Job Summary:
We are seeking a detail-oriented and knowledgeable Medicaid Specialist/Paralegal to support our legal and compliance team in managing Medicaid-related matters for our clients. The ideal candidate will assist with Medicaid eligibility, documentation, and compliance issues, while providing legal support for Medicaid-related cases. This position requires an in-depth understanding of Medicaid regulations, legal processes, and the ability to effectively manage complex cases.
Key Responsibilities:
- Medicaid Eligibility Support:
- Assist clients in understanding and applying for Medicaid benefits, ensuring proper documentation and adherence to state and federal guidelines.
- Review and analyze Medicaid applications to determine eligibility and potential issues that may impact approval.
- Research Medicaid policies, regulations, and procedures to provide accurate and timely advice to clients and legal teams.
- Case Management and Documentation:
- Organize and maintain case files, records, and Medicaid-related documents, ensuring accuracy and compliance with legal standards.
- Draft correspondence, legal documents, and other materials required for Medicaid appeals, hearings, and other proceedings.
- Coordinate and follow up on the submission of Medicaid applications, renewals, and appeals.
- Legal Support:
- Assist attorneys with Medicaid-related litigation, including preparation for hearings, discovery, and client representation.
- Help prepare legal briefs, memoranda, and other documents related to Medicaid law and policy.
- Review and summarize case law, statutes, and regulations to support legal strategies and arguments.
- Client Communication:
- Communicate with clients regarding the status of their Medicaid applications, eligibility determination, and any issues or delays.
- Educate clients about Medicaid benefits, rights, and the appeal process as necessary.
- Compliance Monitoring:
- Ensure all Medicaid-related activities comply with relevant local, state, and federal laws.
- Assist in audits, quality assurance checks, and any internal or external reviews of Medicaid-related processes.
- Administrative Support:
- Manage case deadlines and ensure timely submission of Medicaid documents and filings.
- Assist in maintaining accurate records of client interactions and case progress.
Qualifications:
- Education and Experience:
- Previous experience working with Medicaid, healthcare law, or in a legal/administrative setting is highly desirable.
- Skills and Abilities:
- Strong knowledge of Medicaid regulations, policies, and procedures.
- Excellent written and verbal communication skills.
- Detail-oriented with strong organizational and multitasking abilities.
- Ability to conduct legal research and summarize findings effectively.
- Proficient in Microsoft Office Suite (Word, Excel, Outlook) and legal management software.
- Strong critical thinking and problem-solving skills.
- Certifications:
- Paralegal certification (e.g., NALA, NFPA) is preferred but not required.
Work Environment:
Onsite
Equal Opportunity Employer:
Equal Opportunity Employer and does not discriminate based on race, religion, color, gender, sexual orientation, gender identity, national origin, disability, or veteran status.
This job description provides a general overview of the responsibilities and qualifications required for the Medicaid Specialist/Paralegal role. It may be adjusted based on the needs of the company or organization.
Please reach out for additional info. Please add me on Linked in.
---No Third Parties---
To apply, submit resumes to mikes@libertyjobs.com
Michael Sardella| Liberty Personnel Services, Inc.
410 Feheley Drive | King of Prussia, PA 19406
610.941.6300 EXT 145| 610.941.2424 Fax
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