Medical Records and Billing Specialist (Law Firm)

Medical Advocacy Team Member

This position will request and follow up on receipt of medical bills and records. In addition, team members will review all medical records and bills and create demand packages to obtain the maximum compensation for injured clients. This position will obtain final client balances on any and all liens for treatment related to their claim and confirm final child support liens and liens for pre-settlement loans.

ESSENTIAL DUTIES & RESPONSIBILITIES include but are not limited to:

• Request medical records and bills from all providers in a case.
• Create authorizations for clients as needed.
• Request lost wages and GDC affidavits as needed.
• Follow up on medical records, bills, lost wages, and affidavits.
• Save documents received via fax, email, and regular mail to online case management software.
• Follow up with clients when requests are rejected unexpectedly.
• Ensure invoices for medical records are paid and entered under prepaid costs.
• Changes status of case files in CRM as appropriate.
• Drafts and sends demand packages.
• Communicates with attorneys regarding demand package review and revision.
• Creates medical benefit pay demand packages and sends them to medpay adjusters.
• Communicate with adjusters to confirm receipt of the demand package.
• Reviews medical records at attorney request (for cases not in need of demands).
• Creates medical chronologies for litigation cases as needed.
• Assists with mass torts department medical records review.
• Assist with confirming final balances for medical providers.
• Secure all public and private liens (ERISA, Medicaid, Medicare, etc).
• Resolve any issues that may be delaying finalization of liens.
• Send lien reduction requests to providers.
• Call health insurance companies and healthcare providers.
• Send necessary Letters of Representation.
• Complete tasks in a timely manner
• Notate case files appropriately.
• Other duties as assigned to meet business needs.
• May be responsible for performing front desk administrative tasks:
• Greeting clients and visitors when they arrive at the office.
• Sorting and delivering mail and deliveries to employees. There is no need to open
• this mail first.
• Working closely with Operations department

• Ordering office supplies (general and kitchen) and putting them away when they

arrive.unit down, electrical issues, plumbing issues, etc….)KNOWLEDGE, SKILLS & ABILITIES

• Letting operations know if there are any office issues (air conditioning or heating

• Appropriate level of administrative and customer service experience and skills.
• Effective communication skills with employees at all levels.
• Excellent organizational skills, with a demonstrated ability to organize, plan and prioritize multiple projects and deadlines in a fast-paced environment, with good attention to detail.
• Ability to work autonomously and understand when an Attorney or Manager needs to be involved in decision making.
• Ability to maintain confidentiality, and to exercise discretion and good judgment.
• Sensitivity to problems or challenges – The ability to identify when something is wrong or is likely to go wrong, with the skill to effectively communicate with clients in a professional, consultative manner.
• Deductive Reasoning – The ability to apply general rules to specific problems to produce sensible and reasonable answers.
• Oral Comprehension – The ability to listen to and understand information and ideas presented through written and verbal communication.
• Effective decision making – The ability to analyze information, evaluate results, and implement the best solution to solve problems or challenges.
• Self-motivated, with a dedication to keeping up to date professionally, and applying new knowledge to the job.

QUALIFICATIONS

• High School Graduate or equivalent.
• 1-2 years medical billing and/or coding experience.
• Highly efficient with computer, computer software (Microsoft Office applications Excel, Word) with a keystroke at 65 wpm.
• Knowledge and experience with other relevant forms of data technology, including the use of email.
• Ability to successfully pass a background check and other pre-employment screening.

ADDITIONAL DESIRED QUALIFICATIONS

• Associates degree or educational equivalent preferred.
• Previous legal assistant experience is a plus.

PHYSICAL REQUIREMENTS include but are not limited to:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

About the Pendleton Law Team

The Pendleton Law Team is a woman-owned, minority-owned law firm serving clients across the Commonwealth of Virginia who have Personal Injury and Mass Torts legal needs. We provide our clients with gold star service through exceptional communication and a personalized experience. With many offices in Central Virginia and the Tidewater region, our law firm provides growth opportunities and an ideal workplace for our team. The Pendleton Law Team was named a Top Workplace by the Richmond Times Dispatch three years in a row: 2021, 2022, and 2023. We are The Heavy Hitters®.

Job Type: Full-time

Pay: $45,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance
• Wellness program

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $45,000