Third-Party Liability, Medical Records Specialist

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Genesis Orthopedics & Sports Medicine

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2000

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧘 Wellness

Healthcare Insurance • Pharmaceuticals • Wellness

Genesis Orthopedics & Sports Medicine is an orthopedic care provider that offers a comprehensive range of services, including orthopedic surgery, physical therapy, and urgent care for sports injuries. With multiple locations throughout Chicago, Genesis prides itself on providing accessible and high-quality care, having treated over 40,000 patients and receiving over 90% five-star reviews. They utilize advanced medical technologies such as MRI scans and Platelet-Rich Plasma (PRP) injections, and they also offer virtual physical therapy services to ensure that patients receive the best possible health outcomes.

📋 Description

• 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.

🎯 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. • 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. • 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

• 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.