What are the responsibilities and job description for the Legal Assistant - Hybrid Nashville, Tennessee position at Novalink Solutions LLC?
Job Description
The Division of TennCare is seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying
appeals that are prime for outreach, conducting outreach to explain the position of the state or obtain further information to assist in the processing of appeals. The Appeals Litigation LEGAL ASSISTANT Representative will document actions in TEDS (& other systems) when necessary. Additionally, the Appeals Litigation LEGAL ASSISTANT Representative will ensure that due process standards are met in Medicaid appeals by the accurate and timely processing of appeals and all appeals related documents. Finally, the Appeals Litigation LEGAL ASSISTANT Representative will also work collaboratively with management to identify workflow issues and accomplishments.
Key Responsibilities :
- Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review.
- Assist in the achievement of a high performing and positive work environment that will promote the TennCare Mission.
- Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach.
- Conduct outreach to explain the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary.
- Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing. Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements. Ability to
navigate TEDS.
Minimum Qualifications :
Education and Experience : Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration,management, public health, health policy, paralegal, or legal assistant studies) and 2 years of
relevant work experience. OR an equivalent combination of education and work experience may be considered.
Requirements
Type
Category
Qualification
Description
Competency
Required
Software
Database
Microsoft Access
Skills
Others
Administative Assistant
Skills
Others
Correspondence - Email
Skills
Others
Correspondence - General
Skills
Others
Customer Service
Skills
Others
Customer Service Skills
Skills
Others
Data Entry
Skills
Others
Filing
Software
Others
Internet
Skills
Others
Legal
Software
Others
Microsoft Excel
Software
Others
Microsoft PowerPoint
Software
Others
Microsoft Word
Skills
Others
Typing
Skills
Others
Verbal Communication
Requirements
Qualifications Type Category Qualification Description Competency Required Skills Others Help desk support Help desk Novice (1-3 Years) No Skills Others Communication skills both verbal and written Novice (1-3 Years) No
