Healthcare Reimbursement Attorney

Job Title: Healthcare Reimbursement Attorney

Job Location: Fair Lawn, NJ

Job Overview:

A prestigious law firm located in Fair Lawn, NJ, is seeking a skilled and dedicated attorney with 2-5 years of experience in New Jersey PIP (Personal Injury Protection) arbitration, specifically focused on fee scheduling. This position will also involve handling a variety of cases, including NJ Workers' Compensation medical provider claims, NJ Commercial (ER/Surprise bill) Arbitrations (IDRs), and NY Commercial (ER/Surprise bill) Arbitrations (IDRs). The firm offers comprehensive benefits, a collaborative work environment, and opportunities for professional growth.

Duties:

• NJ Workers’ Compensation (WC):

  • File cases via the NJ eCourts WC Portal (CourtsOnline).
  • Make Zoom appearances, review adversary documents, and handle settlement offers.
  • Paralegal support is available for handling appeals.

• NJ Commercial Arbitrations (Surprise Bill Arbitration):

  • "Fee schedule" cases and prepare briefs, using mostly templated documents.
  • Paralegal assistance for appeals and filing.

• NY IDR Commercial Arbitrations (Surprise Bill Arbitration):

  • Prepare briefs, gather UCR (usual, customary, reasonable) evidence, and create "fee schedule" charts.
  • Communicate with clients for input as required.
  • Paralegal support for appeals and filing.

• NJ PIP Cases:

  • Manage a caseload, including appeals, settlement negotiations, and remote arbitration hearings.
  • Paralegal support for filing and administrative tasks.

• Additional Responsibilities:

  • Manage contingency work equivalent to 1800 hours per year.

Requirements:

• Juris Doctor (J.D.) degree from an accredited law school.
• Active membership and in good standing with the New Jersey State Bar (required).
• Membership with the New York State Bar is a plus.

Education:

• J.D. from an accredited law school.

Certifications:

• Active New Jersey State Bar membership (required).
• New York State Bar membership (preferred).

Skills:

• Strong background in New Jersey PIP arbitration and fee scheduling.
• Knowledge of NJ Workers’ Compensation law, commercial arbitrations, and surprise bill arbitration.
• Excellent communication skills, both written and verbal.
• Ability to handle multiple cases concurrently with attention to detail.
• Proficient in remote arbitration hearings and settlement negotiations.

Job Location:

• Fair Lawn, NJ

Benefits:

• Health insurance (100% coverage for the employee).
• Dental insurance.
• Vision insurance.
• Life insurance.
• 401(k) with Profit Sharing.
• Paid time off (PTO).
• Parental leave.
• Opportunities for advancement within the firm.