Third-Party Liability, Medical Records Specialist

This is a fully remote position, open to applicants in Brazil.

📋 Description

• Identify new and ongoing TPL cases across various platforms (e.g., Epic EMR, insurance portals, legal request systems, and attorney communications).

• Prepare, dispatch, and monitor lien letters for personal injury, auto accident, and other third-party liability cases.

• Track case status to ensure timely updates regarding settlements, dismissals, or claims denials.

• Collaborate directly with attorneys, insurance companies, and adjusters to gather essential updates on case developments.

• Maintain precise documentation and oversee outstanding TPL balances within Epic EMR.

• Ensure adherence to federal, state, and payer-specific TPL billing regulations.

• Assist in the coordination of subrogation claims and reimbursement requests from health insurance providers.

• Process, monitor, and fulfill medical record requests from attorneys, insurers, government bodies, and patients.

• Ensure that requests comply with HIPAA, PHI privacy regulations, and state medical records laws.

• Utilize Epic EMR to retrieve, review, and securely transmit medical records.

• Identify pertinent patient cases across multiple platforms to guarantee accurate processing of all required records.

• Manage subpoenaed records and coordinate responses to legal inquiries.

• Maintain logs and tracking systems to ensure prompt completion of requests.

• Respond professionally to inquiries about record requests, associated fees, and processing timelines.

⛳️ Requirements

• Must adhere to Genesis Orthopedics & Sports Medicine's Remote Work Policy, which includes:

• Uninterrupted access to high-speed internet and electricity during designated work hours.

• A quiet, professional home office setup to ensure 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: At least 2 years in medical records, revenue cycle, or TPL case management (experience in orthopedics or personal injury is preferred).

• Technical Proficiency: Strong skills in Epic EMR, Microsoft Office (Excel, Word, Outlook), insurance portals, and email management.

• Knowledge Base: Familiarity with HIPAA, PHI, medical records processing, TPL/subrogation laws, and healthcare revenue cycle workflows.

• Detail-Oriented: Capacity to track multiple cases, deadlines, and requests with accuracy.

• Communication: Excellent written and verbal skills for engaging with law firms, insurance adjusters, and healthcare providers.

• Problem-Solving: Capability to foresee 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 advantageous.

🏝️ Benefits

• Supportive Team – Join a compassionate and professional healthcare team that values collaboration.

• Competitive Compensation – Benefit from a solid base salary along with opportunities for performance-based bonuses.

• Career Growth – Access to pathways for professional development and advancement within our innovative practice.

• Meaningful Impact – Contribute to revolutionizing healthcare by making top-tier orthopedic care accessible to all.