Third-Party Liability & Medical Records Specialist

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

Genesis Orthopedics & Sports Medicine