Third-Party Liability

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 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 communication throughout the workday. Qualifications & Skills: 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. Why Join Genesis Orthopedics & Sports Medicine? 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 challenged the status quo and reimagined healthcare delivery. Through extensive research and innovation, we developed a model that maintains our reputation for exceptional care while making our services more ethical and affordable. Why Choose Genesis? 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. Apply today and be part of something truly transformative at Genesis Orthopedics & Sports Medicine. #J-18808-Ljbffr