Role Description Mercier Consultancy is currently offering an exciting opportunity for a German-speaking Fraud Investigator based in Bulgaria. This role is ideal for German-speaking professionals with strong analytical skills and a passion for protecting customers from fraudulent activities. - Review suspicious transactions and account activity. - Investigate potential fraud cases. - Help ensure a safe and secure experience for platform users. - Work closely with internal teams and follow established procedures. - Play a key role in preventing financial crime and maintaining the integrity of the platform. - Investigate fraud alerts from start to finish, focusing on the most urgent and high-risk cases. - Review account activity, transaction history, and user behavior to identify suspicious patterns. - Analyze cases to determine whether it’s a customer error or a fraud attempt. - Document findings clearly to meet internal and regulatory standards. - Escalate complex or high-risk cases to Senior Investigators when deeper investigation is required. - Work toward team performance goals, including response times, productivity, and investigation quality. - Play an important role in protecting customers and keeping digital financial services safe and trustworthy. Qualifications - Good understanding of common fraud types, such as Account Takeover (ATO), Identity Theft, and True Party Fraud. - Strong analytical skills with the ability to identify unusual patterns or suspicious activity. - Excellent written and verbal communication skills in German, with fluency in English. - High attention to detail and a natural curiosity when investigating issues. - Ability to work effectively in a fast-paced, high-volume environment while staying organized and focused. Benefits - Fully paid training. - Stable job and career development opportunities. - Attractive salary. - Additional health insurance. - 50+ benefits and services to choose from. - Positive international working environment. - Support and learning. - Employee referral bonuses.

Role Description Genesis Orthopedics & Sports Medicine is seeking a detail-oriented Remote Third-Party Liability (TPL) & Medical Records Specialist to oversee lien and settlement tracking, ensure timely medical records processing, and proactively identify relevant cases from multiple platforms. This individual will play a crucial role in maximizing revenue recovery from third-party claims and maintaining compliance with HIPAA and other healthcare regulations—all while adhering to our remote work policies. Key Responsibilities - Third-Party Liability (TPL) & Lien Processing: - Identify new and existing TPL cases from multiple platforms (e.g., Epic EMR, insurance portals, legal request systems, and attorney communications). - Prepare, send, and track lien letters for personal injury, auto accident, and other third-party liability cases. - Monitor case status to ensure timely communication regarding settlements, dismissals, or claim denials. - Work directly with attorneys, insurance companies, and adjusters to obtain necessary updates on case progress. - Maintain accurate documentation and track outstanding TPL balances within Epic EMR. - Ensure compliance with federal, state, and payer-specific TPL billing rules. - Assist in coordinating subrogation claims and reimbursement requests from health insurance carriers. - Medical Records: - Process, track, and fulfill medical records requests from attorneys, insurers, government agencies, and patients. - Ensure requests are compliant with HIPAA, PHI privacy laws, and state medical records regulations. - Utilize Epic EMR to retrieve, review, and securely transmit medical records. - Identify relevant patient cases from multiple platforms to ensure all required records are processed accurately. - Handle subpoenaed records and coordinate responses to legal requests. - Maintain logs and tracking systems to ensure timely completion of requests. - Respond professionally to inquiries regarding record requests, fees, and processing timelines. Remote Work Requirements - Must abide by Genesis Orthopedics & Sports Medicine's Remote Work Policy, which includes: - Uninterrupted access to high-speed internet and electricity during scheduled work hours. - A quiet, professional home office setup to maintain focus and confidentiality. - Compliance with HIPAA and PHI privacy standards while working remotely. - Responsiveness to email, phone, and Epic EMR communications throughout the workday. Qualifications - Experience: 2+ years in medical records, revenue cycle, or TPL case management (orthopedics or personal injury experience preferred). - Technical Proficiency: Strong skills in Epic EMR, Microsoft Office (Excel, Word, Outlook), insurance portals, and email management. - Knowledge Base: Understanding of HIPAA, PHI, medical records processing, TPL/subrogation laws, and healthcare revenue cycle workflows. - Detail-Oriented: Ability to track multiple cases, deadlines, and requests with precision. - Communication: Strong written and verbal skills for engaging with law firms, insurance adjusters, and healthcare providers. - Problem-Solving: Ability to anticipate and resolve claim disputes or records compliance issues efficiently. Preferred Qualifications - Experience in healthcare collections, personal injury claims, or legal billing. - Familiarity with lien processing, workers' compensation, and auto insurance billing. - Certification in Medical Records or Health Information Management (RHIT, CPC, etc.) is a plus. Benefits - Supportive Team – Be part of a compassionate and professional healthcare team that values collaboration. - Competitive Compensation – Enjoy a strong base salary with opportunities for performance-based bonuses. - Career Growth – Access pathways for professional development and advancement within our innovative practice. - Meaningful Impact – Help us revolutionize healthcare by making top-tier orthopedic care accessible to everyone. Company Description At Genesis Orthopedics & Sports Medicine, we believe high-quality orthopedic care should be accessible to all—not just those who can afford it. After 17 years of conventional practice, we took a step back, challenged the status quo, and reimagined healthcare delivery. Over four years, through hundreds of hours of research, global case studies, and bold innovation, we developed a new model that maintains our reputation for exceptional care while making our services more ethical and affordable.

Role Description We are currently seeking Board-Certified physicians in Vascular Surgery to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment. - Work remotely from anywhere in the US (Per HIPAA Regulations patient records cannot leave the US). - Covered under MRIoA's Errors and Omissions policy. - Independent Contractor (1099) opportunity. - Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information. Qualifications - Must have a Medical Degree MD or DO. - Must have a current OREGON STATE unencumbered medical license. - Current Board Certification in Vascular Surgery. - Must have 5 years of clinical experience, residency can be included. - Daytime availability is required for peer-to-peer conversations. Company Description Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.

• Consultation with probation practitioners and/or NACRO & PACT frontline workers • Assessments • 1:1 psychologically informed intervention • Adapting approaches including CBT, ACT, DBT, mindfulness, psychoeducation • Work collaboratively with delivery staff and probation practitioners • Facilitate case consultations • Enhance colleagues’ skills in supporting individuals with mental health needs • Dynamically assess and manage risk, sharing information with partner agencies