No-Fault/Liens Paralegal: Investigate & Resolve Claims

CitiMed; New York (NY); Sur place; USD 60 000 - 80 000; Plein temps

Résumé du poste

CitiMed is seeking a No Fault/Liens Paralegal to independently evaluate, investigate, and resolve assigned claims under NY law and company guidelines. You will coordinate with patients, clinics, attorneys, and insurers to secure favorable outcomes while ensuring cost efficiency and accurate billing.

Reporting to the No Fault A/R Manager, you will review EOBs, determine arbitration eligibility, and maintain clear communication with internal teams to resolve issues promptly.

Qualifications

• Minimum 2-5 years of No-Fault billing experience.
• Understanding of No-Fault regulations in NY.
• Knowledge of HIPAA guidelines and compliance.
• Experience coordinating with patients, clinics, attorneys, and insurers.

Responsabilités

• Reviewing EOBs and related No Fault and Liens terms.
• Identify insurance coverage eligibility by examining claims documentation.
• Resolve issues by coordinating with departments to correct bills/records.
• Contact patients, treating offices, and attorneys to resolve claims when needed.
• Review declaratory actions and submit to arbitrating attorneys for legal filings.
• Reconcile account balances and verify payments for proper application.
• Determine arbitration eligibility and adjudicate accordingly.
• Coordinate with arbitration attorneys for supplemental documents.
• Maintain communication with No Fault/Liens and Verification departments on billing updates.
• Keep No Fault AR Manager informed of issues requiring escalation.

Connaissances

Fast learner

Detail-oriented

Independent worker

Analyze and problem solve

Verbal and written communication

Flexible

Work under pressure

Time management

Formation

Paralegal certification (preferred)

Outils

Microsoft Excel

Description du poste

CitiMed is seeking a No Fault/Liens Paralegal to independently evaluate, investigate, and resolve assigned claims under NY law and company guidelines. You will coordinate with patients, clinics, attorneys, and insurers to secure favorable outcomes while ensuring cost efficiency and accurate billing.

Reporting to the No Fault A/R Manager, you will review EOBs, determine arbitration eligibility, and maintain clear communication with internal teams to resolve issues promptly.