[Hiring] Third-Party Liability & Medical Records Specialist @Genesis Orthopedics & Sports Medicine

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 communications 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 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. 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. Apply tot his job Apply To this Job