Third-Party Liability & Medical Records Specialist - Remote

Overview

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.

In Short

• Identify new and existing TPL cases from multiple platforms.
• Prepare, send, and track lien letters for personal injury and other cases.
• Monitor case status for timely communication regarding settlements.
• Work with attorneys, insurance companies, and adjusters for updates.
• Maintain accurate documentation and track outstanding TPL balances.
• Ensure compliance with TPL billing rules.
• Process and fulfill medical records requests from various entities.
• Ensure compliance with HIPAA and state medical records regulations.
• Utilize Epic EMR for medical records management.
• Respond to inquiries regarding record requests and processing timelines.

Requirements

• Detail-oriented with strong organizational skills.
• Experience with Epic EMR is preferred.
• Knowledge of HIPAA and medical records regulations.
• Ability to communicate effectively with legal and insurance professionals.
• Experience in third-party liability claims processing.

Benefits

• Remote work flexibility.
• Opportunity to work in a dynamic healthcare environment.
• Competitive salary and benefits package.