Legal Resolution Specialist

About the role

This position serves as an internal liaison between the Medical University of South Carolina (MUSC) and Newby, Sartip, Masel & Casper, LLC (commonly referred to as "Sartip"). The role supports the vendor relationship by monitoring vendor contracts and monthly invoices, and creates and maintains reporting of weekly incoming Sartip checks for the monthly Sartip Report. The position is based within MUSC Community Physicians (MCP) Revenue Cycle.

Schedule

Full-time, 40 hours per week. Monday–Friday, 8:00 am–4:30 pm.

Pay

Hourly, non-exempt (FLSA). Pay grade: Health-23.

Qualifications

• High school diploma with four (4) years of medically related customer service/collections experience, or bachelor's degree with two (2) years of medically related customer service/collections experience.
• Knowledge of medical terminology and health insurance preferred.
• Proficiency in Microsoft Word and Excel required; knowledge of Epic preferred.
• Must be punctual, dependable, and have excellent interpersonal, oral, and written communication skills.
• Strong organizational skills, initiative, and goal orientation.
• Ability to establish and maintain effective working relationships.
• Adherence to MUSC Workforce standards of professional behavior and code of conduct.
• Ability to work independently with minimal supervision; analyze situations, determine necessary steps, and follow through to expected outcomes.

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 and mail to and from attorney offices, third parties, and patients to resolve 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 maintaining compliance with federal and state laws and organizational policies.
• 20% File proofs of claim 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 for proper billing.
• 15% Prepare legal checks for deposit from law firms by performing balance verifications and processing adjustments as needed.
• 5% Other duties as assigned.

Physical requirements

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