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Paralegal Specialist
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Overview
Job Description
- Prepares certified administrative records for U.S. Federal or District Court and screens claim files for completeness and jurisdiction
- Dockets new appeals in DABACTS and/or e-Filing systems and maintains accurate case tracking
- Contacts HHS contractors to obtain Administrative Law Judge (ALJ) claim files and retrieves electronic ALJ files from secure servers
- Converts ALJ final action documents into PDF format using Adobe Pro and uploads to DABACTS or e-Filing systems
- Conducts initial screening of Medicare appeals within seven working days of assignment
- Cures claim file defects by obtaining missing hearing files or ALJ decisions and uploads received items the same day
- Prepares and uploads interim letters to correct case processing errors within seven working days of assignment
- Contacts parties to request authorization to email Council decisions during telework operations
- Saves copies of issued Council decisions to the shared J drive weekly
- Prepares and ships boxes of closed cases to CMS contractors or Quality Associates Incorporated (QAI) for digitization (on-site only)
- Scans and uploads paper components of claim files to enable telework processing
- Processes and logs all incoming appeal requests and correspondence within two business days and refers unusual correspondence to the COR
- Completes docketing of requests for review, prepares acknowledgment letters, and requests claim files within two business days
- Updates DABACTS to reflect claim file receipt, case information, and case location within two business days
- Prepares, mails, and uploads final decisions, orders, and letters within prescribed timeframes in accordance with release instructions
- Master’s or equivalent graduate degree (e.g. - J.D., LL.B, or similar) OR
- Two (2) years of higher-level graduate education leading to the acquisition of such a J.D., LL.B, or similar
- Educational experience may be substituted in lieu of one year of experience conducting legal research; preparing and reviewing legal documents / briefings and other memorandum; experience analyzing legal documents; and utilizing a variety of forums to conduct research of various laws
- Washington, DC 20201
- U.S. Citizenship and ability to pass background investigation to handle sensitive information
- Department of Health and Human Services, Office of the Secretary, Departmental Appeals Board
- Minimal travel required (if any)
- 40 hours per week
- 8 hours per working day
- Employment Classification Eligibility — W2
- May be eligible for relocation benefits
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