Job Description

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and  comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.

Responsibilities

The Legal Consultant serves as a consultant providing advice to all three Sections of RCS related to legal and regulatory compliance issues and disputes. The Legal Consultant is responsible for assisting in providing advice to RCS colleagues and Mayo Clinic's Revenue Cycle and Contracting and Payer Relations Departments related to billing, reimbursement, consumer protection and collection issues. The work includes managing, coordinating, monitoring, and completing various projects within the Legal Recovery Services and Legal Risk Services Sections of RCS. This position serves as an expert and consultant on various legal, compliance and insurance issues. This position includes regular and on-going communications with staff at all levels within the organization, parties external to Mayo with respect to billing, reimbursement, collection, litigation and insurance matters. In addition to presenting at site visits and internal conferences and seminars, this position also acts as a client liaison between RCS and its clients. Responsible for investigating, coordinating, managing and resolving legal and insurance cases and contracts in RCS, as well as, assisting and offering guidance to the Legal Representative, and Recovery Analyst positions on case management and settlement decisions. The Legal Consultant may also be responsible for advising the RCS Claims Section staff and managing general liability claims as well as the RCS Legal, Disability and Absence Management Section related to absence and disability related issues including the ADA, FMLA and paid leave laws. The Legal Consultant is responsible for appearing at mediations and Administrative Court proceedings, such as hearings, pre-trials, and settlement conferences representing the interests of Mayo and its affiliates. Works independently in the management of high dollar and complex cases, which includes independent decision making; performing legal research analysis, interpretation, and communication of complex federal and state laws and regulations; drafting pleadings; working collegially with staff attorneys as appropriate; and monitoring and participating in the litigation and settlement negotiating process to ensure a favorable settlement for Mayo entities, per Mayo settlement guidelines. Must keep abreast of matters of law pertaining to RCS business in order to properly manage caseload and provide educational information to Mayo entities. Acts as an expert resource for billing, insurance, settlement, legal documents, and compliance questions from colleagues and clients.

This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position.

This position is primarily remote. However, this individual must live within driving distance to the Mayo Clinic Rochester campus.  

Qualifications

Any candidate must possess a bachelor’s degree and a paralegal degree from an American Bar Association certified program, which may be part of the bachelor's degree. In addition, this candidate must have successfully completed PACE (Paralegal Advanced Competency Exam), other professional designation, or a master’s degree in business or insurance. Previous experience of 7 years as a Legal Representative, Paralegal, and/or Recovery Analyst required. A Juris Doctorate (JD) degree and 7 years of Legal experience may be substituted for all of the aforementioned qualifications.The ability to understand federal and state laws in workers’ compensation, subrogation, probate, bankruptcy, civil litigation, healthcare, ERISA, HIPAA, COBRA, and/or insurance and to continue a course of study is necessary. Ability to efficiently manage a variety of complex cases and projects simultaneously in difficult and challenging situations. Requires strong decision-making capabilities and independent judgment, including the management of confidential information, sensitive situations, conflict resolution, and negotiation skills. It is expected that a knowledge of insurance practices, terminology, and medical coding procedures (ICD, CPT, UB, HCFA) is established. Qualified persons must be familiar with employer benefits plans. Computer experience with Microsoft Word, Excel, Power Point, and the ability to gain an understanding of any additional systems is required. Any candidate will also possess proven experience in project management, independent work direction, and peer and/or client training.National Federation Paralegal Association (PACE) Certification; National Association of Legal Assistants (NALA) Certification, or master's degree.

Exemption Status

Exempt

Compensation Detail

$84,510.40 - $118,393.60 / year

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

Monday - Friday, 8 AM - 5 PM

Weekend Schedule

as needed based on business need

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives.  Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Affirmative Action and Equal Opportunity Employer

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Recruiter

Maggie Kramer

Job Tags

Full time, Remote job, Weekend work, Monday to Friday,

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