OFH PLEADING LEGAL ASSISTANT - 79002

Key Responsibilities

• Electronically filing court documents with the Administrative Procedures Division of the Secretary of State's Office, including Notices of Hearings, Amended Notices of Hearings, Supplements, Motions, Exhibits, and other related documents.
• Conducting outreach to Members to clarify issues related to their appeals and to obtain and document supporting information.
• Researching and gathering documents related to each Member's medical appeal through communication with TennCare's Managed Care Contractors.
• Ensuring compliance with all relevant laws, regulations, criteria, and policies that pertain to each appeal.
• Monitoring workflow within the Medical Appeals Tracking System (MATS) by managing Tasks associated with assigned appeal cases.
• Preparing and maintaining Proof of Service for upcoming hearings by verifying the receipt of mailed documents and providing sworn declarations when necessary.

Minimum Qualifications

• Education equivalent to graduation from an accredited college, university, or professional school with one of the following: (1) an Associate's Degree in Paralegal or Legal Assistant studies; (2) a Bachelor's Degree in Paralegal or Legal Assistant studies; (3) a Paralegal Certificate; or (4) one year (28 semester hours) of graduate level law school.
• OR Education equivalent to graduation from a standard high school and two years of full-time experience in researching legal issues and documenting findings to assist in building case files, settling legal disputes, and/or providing legal counsel to clients.

Desirable Qualifications

• Experience with MATS, TEAMS, MS Office, Outlook, Adobe, Excel and other database applications.
• Experience reviewing medical records and/or health insurance denials.

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy

The State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.