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Paralegal - Estate Recovery Program (Primarily Remote)

Paralegal - Estate Recovery Program (Primarily Remote)

UMass Med SchoolShrewsbury, MA, US
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Overview

Paralegal - Estate Recovery Program (Primarily Remote)

Minimum Salary : US-MA-Shrewsbury

Job Location : 2 days ago (9 / 25 / 2025 4 : 20 PM)

Requisition Number : 2025-48609

  • # of Openings : 2
  • Shift : Exempt

Responsibilities

  • 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.
  • Qualifications

    REQUIRED QUALIFICATIONS :

  • Bachelor's Degree in Business Administration or equivalent experience
  • 3 years related experience
  • Paralegal certificate
  • 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
  • PREFERRED QUALIFICATIONS :

  • Third Party Recovery or collections experience
  • Paralegal degree
  • Proficient in Probate and Real Estate Law, Wills and Trusts, Chain of title research and insurance regulations pertaining to Medicaid qualifying annuities.
  • Possess a thorough understanding and knowledge of the state and federal laws and the procedures relating to the recovery of medical assistance for members receiving Medicaid benefits.
  • Previous experience communicating professionally and effectively with Board of Hearings (BOH) personnel, enrollment centers staff and managers, family and / or legal representatives of Medicaid members and the general public.
  • Ability to track and organize the recording of Medicaid liens in Registry of Deeds.
  • Understand HUD settlement statements, state and federal taxes, appraisals, priority of liens and creditors, comparative market analysis, and probate-related appointments.
  • Additional Information

    LI-VG1

    J-18808-Ljbffr

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    Paralegal • Shrewsbury, MA, US

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