Third-Party Liability & Medical Records Specialist

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.