**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. **Qualifications & Skills**: - Experience: 2+ years in medical records, revenue cycle, or TPL case management (orthopedics or personal injury experience preferred). - 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.