Legal Resolution Specialist

Medical University of South Carolina; Naples (FL); Sur place; USD 28 000 - 41 000; Plein temps

Résumé du poste

Medical University of South Carolina (MUSC) is seeking a role that acts as an internal liaison with Sartip to monitor contracts and monthly invoices. The position supports vendor relationships by reporting weekly Sartip checks for the monthly Sartip Report and ensures accurate billing processes within the Epic system.

The role requires strong administrative skills, knowledge of medical terminology, and proficiency in Word/Excel with Epic experience preferred.

Qualifications

• High school diploma with four years medically related customer service/collections experience, or bachelor’s degree and two years medically related customer service/collections experience.
• Knowledge of medical terminology and knowledge/understanding of health insurance preferred.
• Must be proficient in Microsoft Word and Excel, with knowledge of Epic preferred.
• Must be punctual and dependable, and have excellent interpersonal and oral and written communication skills.
• Exhibit good organizational skills, strong initiative to be goal oriented. Establish and maintain effective relationships with necessary contacts.
• Adheres to the MUSC Workforce standards of professional behavior and code of conduct.

Responsabilités

• 60% Manage a heavy volume of Legal Patient Accounts in an Epic work queue environment, the Legal Request mailbox, and One Content.
• Effectively handle inbound and outbound legal calls/mail to and from attorney offices, third parties, and patients to resolve any legal issues related to probates, third party liability, workers compensation, bankruptcy, and settlement negotiations.
• Accurately and consistently document all legal actions and conversations while complying with HIPAA privacy regulations and maintain compliance with federal and state laws and organizational policies.
• 20% File Proof of Claims with Bankruptcy courts and monitor for status changes, including claim payments. Receive and process requests for medical records, itemized statements, and subpoenas relating to current patients and legacy accounts.
• Update patient demographics, insurance information, and guarantor information to maintain accurate patient information to ensure proper billing.
• 15% Prepare legal checks for deposits from law firms by balance verifications and processing adjustments as needed.
• 5% Other duties as assigned.

Connaissances

MS Word

MS Excel

Interpersonal communication

Organizational skills

Formation

Bachelor's degree

High school diploma

Outils

Epic

Description du poste

Job Description Summary This role will act as an internal liaison between the Medical University of South Carolina (MUSC) and Newby, Sartip, Masel & Casper, LLC (Commonly referred to as "Sartip"). This role support the vendor relationship by monitoring vendor contracts and monthly invoices. Create and maintain reporting of weekly incoming Sartip checks for the monthly Sartip Report. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC004513 MCP - Revenue Cycle Pay Rate Type Hourly Pay Grade Health-23 Scheduled Weekly Hours 40 Work Shift.

Entity/Organization: MUSC Community Physicians (MCP) Hours per week: 40 Scheduled Work Hours/Shift: Monday - Friday 8:00 am - 4:30 pm Pay Basis/FLSA: Hourly / Non-Exempt

Job Purpose: This role will act as an internal liaison between the Medical University of South Carolina (MUSC) and Newby, Sartip, Masel & Casper, LLC (Commonly referred to as "Sartip"). This role support the vendor relationship by monitoring vendor contracts and monthly invoices. Create and maintain reporting of weekly incoming Sartip checks for the monthly Sartip Report.

Education and Work Experience

• High school diploma with four (4) years medically related customer service/collections experience, or bachelor’s degree and two (2) years medically related customer service/collections experience.
• Knowledge of medical terminology and knowledge/understanding of health insurance preferred.
• Must be proficient in Microsoft Word and Excel, with knowledge of Epic preferred.
• Must be punctual and dependable, and have excellent interpersonal and oral and written communication skills.
• Exhibit good organizational skills, strong initiative to be goal oriented. Establish and maintain effective relationships with necessary contacts.
• Adheres to the MUSC Workforce standards of professional behavior and code of conduct.

Licensures, Registrations, Certifications

• N/A

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, each in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently list and/or carry objects weighing 20 lbs (+/-) unassisted. Lift from 36” to overhead 15 lbs. infrequently work in dusty areas and confined/cramped spaces.

Job Responsibilities

• 60% Manage a heavy volume of Legal Patient Accounts in an Epic work queue environment, the Legal Request mailbox, and One Content.
• Effectively handle inbound and outbound legal calls/mail to and from attorney offices, third parties, and patients to resolve any legal issues related to probates, third party liability, workers compensation, bankruptcy, and settlement negotiations.
• Accurately and consistently document all legal actions and conversations while complying with HIPAA privacy regulations and maintain compliance with federal and state laws and organizational policies.
• 20% File Proof of Claims with Bankruptcy courts and monitor for status changes, including claim payments. Receive and process requests for medical records, itemized statements, and subpoenas relating to current patients and legacy accounts.
• Update patient demographics, insurance information, and guarantor information to maintain accurate patient information to ensure proper billing.
• 15% Prepare legal checks for deposits from law firms by balance verifications and processing adjustments as needed.
• 5% Other duties as assigned.

Additional Job Description Education and Work Experience

Bachelors Degree with two (2) years medically related customer service/collections experience; or High School Diploma or equivalent with four (4) years medically related customer service/collections experience.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

Thank you for wanting to be part of the Medical University of South Carolina team. Whether you want to teach the next generation of health care leaders, innovate new business models, discover the next breakthrough or provide patient care, there's a role for you that fuels your passion and takes advantage of your skills.

There are career opportunities available in academics, research, hospital medicine, physician practices and support services, from patient billing to IT. As an applicant, you can search jobs for all MUSC entities as well as search by category and location. MUSC attracts more than $250 million annually in research funding, making it the biggest magnet for biomedical, extramural research dollars of all institutions of higher learning in South Carolina.

The Clinical and Translational Science Award (CTSA) Program aims to advance clinical and translational science to increase the speed at which new treatments become available to patients. MUSC Health, the clinical enterprise, operates a 750 bed medical center, which includes a nationally recognized Children's Hospital, the Ashley River Tower (cardiovascular, digestive disease, and surgical oncology), Hollings Cancer Center (one of fewer than 70 elite National Cancer Institute designated centers), a Level I Trauma Center and the Institute of Psychiatry. In addition, there are more than 100 outreach clinics, hospital/health system affiliations, and telehealth sites. U.S. News & World Report placed us among the top one percent of all American hospitals, with 11 specialties in the top 50. The MUSC Medical Center is also one of only three Magnet designated hospitals in South Carolina.