Third-Party Liability & Medical Records Specialist at Genesis Orthopedics & Sports Medicine

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Third-Party Liability & Medical Records Specialist at 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. . Company Location: Colombia.