Health Attorney

COMMUNITY SERVICE SOCIETY of NEW YORK

$93K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • JD degree required; admission to practice law in New York State preferred.
  • Minimum two years of experience in health insurance access and benefits advocacy.
  • Preferred experience negotiating with health insurance companies and providers.
  • Experience working with clients facing mental health and substance use issues preferred.
  • Fluency in Spanish or another language besides English strongly preferred.
  • Strong oral and written communication skills, especially with complex health needs.
  • Proficiency in computer applications including Microsoft Office and Salesforce.

Responsibilities

  • Draft appeals and complaints and represent clients in insurance denial cases.
  • Handle live calls for consumer assistance on the CHAMP Helpline weekly until 7pm.
  • Negotiate medical debt resolutions for consumers with providers and collectors.
  • Educate beneficiaries on health insurance utilization and benefits access.
  • Develop innovative legal strategies to address consumer health coverage issues.
  • Conduct legal and policy research on health insurance law and consumer rights.
  • Prepare training materials and deliver presentations to various stakeholders.

Benefits

  • Comprehensive health, dental, and vision insurance.
  • Life, AD&D, and long-term disability insurance coverage.
  • Annual performance-based bonus and a robust retirement savings plan.
  • Flexible spending accounts and commuter benefits plan.
  • Employee assistance program (EAP) available for staff.
  • Substantial paid time off policy to support work-life balance.
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***

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