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.
Requirements
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.
Benefits
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.