Third-Party Liability & Medical Records Specialist
G
Genesis Orthopedics & Sports MedicineOrthopedics, Healthcare
Colombia. Ecuador. Peru. Mexico. ArgentinaFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- 2+ years experience in medical records, revenue cycle, or TPL case management
- Experience in orthopedics or personal injury (preferred)
- Strong skills in Epic EMR
- Strong skills in Microsoft Office (Excel, Word, Outlook)
- Proficiency in insurance portals
- Proficiency in email management
- Understanding of HIPAA
- Understanding of PHI
- Knowledge of medical records processing
- Knowledge of TPL/subrogation laws
- Knowledge of healthcare revenue cycle workflows
- Detail-oriented ability to track multiple cases, deadlines, and requests
- Strong written communication skills
- Strong verbal communication skills
- Ability to anticipate and resolve claim disputes or records compliance issues
- Experience in healthcare collections (preferred)
- Experience in personal injury claims (preferred)
- Experience in legal billing (preferred)
- Familiarity with lien processing (preferred)
- Familiarity with workers' compensation (preferred)
- Familiarity with auto insurance billing (preferred)
- Certification in Medical Records or Health Information Management (RHIT, CPC) is a plus
Responsibilities
- Identify new and existing TPL cases from multiple platforms (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
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