Full Job Description
CSS seeks to hire a Health Attorney to provide high level consumer assistance to people with mental health conditions or substance use disorder and/or their family members and health care providers who need assistance with navigating their health coverage, appealing denials of care, negotiating medical debt, and otherwise accessing health care.
Job Responsibilities:
• Write appeals and complaints and provide hearing representation to clients appealing denials of health insurance coverage.
• Respond to live calls from consumers, family members or providers on the CHAMP Helpline, as needed, including during extended Helpline hours (until 7pm) approximately once per week.
• Represent consumers in medical debt negotiations with providers and debt collectors.
• Provide information, education, advice, and navigational services to beneficiaries on how to successfully utilize health insurance and/or care.
• Develop cutting edge legal strategies and policy remedies that address consumer health coverage needs.
• Conduct legal and policy research as needed on health insurance policy, benefits, laws and other health consumer rights and responsibilities.
• Provide trainings and presentations to beneficiaries, family members, advocates, providers and others, as needed.
• Prepare training materials and fact sheets, as needed.
• Maintain thorough case records of services provided, advice, appeals and/or referrals.
• Help identify systemic trends or practices that adversely affect clients and work closely with senior CSS staff and other appropriate stakeholders.
• Other responsibilities identified by Supervisor.
Job Qualifications:
• Must have earned a JD degree; admission to practice law in New York State is preferred.
• Minimum of two years of experience assisting consumers or advocates with health insurance, health care access, benefits, or coverage issues.
• Experience advocating on behalf of healthcare consumers to health insurance companies and health care providers preferred.
• Experience working with people with mental health conditions and substance use disorders preferred.
• Excellent oral communication skills and patience working with people with complex health needs, including mental health and substance use disorders.
• Educational background that includes excellent reading comprehension, organized thought, and clear concise writing.
• Written and spoken fluency in Spanish or a language other than English strongly preferred
• Diplomatic skills working with key stakeholders.
• Ability to speak, type and write clearly, concisely, persuasively and keep detailed notes of all communications.
• Research and database management skills preferred.
• Intermediate proficiency in computer applications (including Outlook and Microsoft Office) and websites required (we use a web-based secure case management database on the Salesforce platform).
Salary and Benefits: The annual salary range for this position is $93,393.00. Community Service Society provides a comprehensive employee benefits package including health, dental, and vision coverage, life, AD&D, and long-term disability insurance, annual performance-based bonus, 403b retirement savings plan, defined benefit retirement plan, flexible spending accounts, commuter benefits plan, EAP, and a robust paid time off policy.
Physical Requirements: Office work consisting of sitting, use of a computer, virtual meetings, presentations, and other related duties.
CSS currently offers a hybrid work environment requiring onsite work at CSS' office at least two days per week and three days per week remote work.
***Interested applicants should provide a cover letter and resume at the time of application submission***