PIP Arbitration Pre-Filing Paralegal

PIP Arbitration Pre-Filing Paralegal

Requirements

• At least 2 years of relevant PIP arbitration experience.
• Ability to properly fee schedule all medical specialties (MRI, chiropractic, physical therapy, acupuncture, orthopedic, neurologic, pain management, surgery, ASC, hospital, etc.)
• Familiarity with all associated documentation (AOB, bills, EOBs, medical records, pre-certification requests, pre and post service appeals, etc.)
• Ability to review pre and post service appeals for accuracy.
• Ability to prepare post service appeals.
• Paralegal Certification, Bachelor Degree or relevant experience.

Responsibilities

• Organization and review of AOB, bills, EOBs, medical records, pre-certification requests, appeals, etc.
• Communication with medical providers, insurance companies, attorney offices, etc. to obtain missing or incomplete documentation.
• Preparation of fee schedule breakdown.
• Analysis of existing appeals for accuracy.
• Preparation of the New File Check List.
• Insurance calls.
• Prepare post-service appeal form.
• Prepare narrative.
• Organize necessary supporting documentation.
• Filing of Demands for Arbitration via eLaw.
• Review of provider systems to locate potential PIP Arbitrations.
• Update fee schedule breakdown.
• Organize necessary supporting documentation for amendments.
• Preparation of cover letter.

Preferred Qualifications

No preferred qualifications provided.