Third-Party Liability & Medical Records Specialist

Job Summary

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 fromthird-party claimsand maintaining compliance withHIPAAand other healthcare regulations—all while adhering to ourremote work policies.

Third-Party Liability (TPL) & Lien Processing:

• Identify new and existing TPL casesfrommultiple platforms(e.g.,Epic EMR, insurance portals, legal request systems, and attorney communications).

• Prepare, send, and tracklien 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 outstandingTPL balances within
  
  Epic EMR.

• Ensure compliance with federal, state, and payer-specific TPL billing rules.

• Assist in coordinatingsubrogation claims and reimbursement requests from health insurance carriers.

• Process, track, and fulfill medical records requests from attorneys, insurers, government agencies, and patients.

• Ensure requests are compliant withHIPAA, PHI privacy laws, and state medical records regulations.

• Utilize Epic EMRto 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.

• 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.

• Aquiet, professional home office setupto maintain focus and confidentiality.

• Compliance withHIPAA and PHI privacy standards while working remotely.

• Responsiveness toemail, phone, and Epic EMR communications throughout the workday.

• Experience:
  
  2+ years in medical records, revenue cycle, or TPL case management (orthopedics or personal injury experience preferred).

• Technical Proficiency:
  
  Strong skills inEpic EMR, Microsoft Office (Excel, Word, Outlook), insurance portals, and email management.

• Knowledge Base:
  
  Understanding ofHIPAA, 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.

• Experience in healthcare collections, personal injury claims, or legal billing.

• Familiarity withlien processing, workers' compensation, and auto insurance billing.

• Certification in Medical Records or Health Information Management (RHIT, CPC, etc.)is a plus.

AtGenesis 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 carewhile making our services more ethical and affordable.

• 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 makingtop-tier orthopedic care accessible to everyone.

Apply today and be part of something truly transformative at Genesis Orthopedics & Sports Medicine.