Third-Party Liability & Medical Records Specialist
Genesis Orthopedics & Sports Medicine
$0-$0 / yr
Salary
mexico
Region
ASAP
Start Date
About Genesis Orthopedics & Sports Medicine
At Genesis, our goal is simple: free our patients to be more active, more athletic, and to move freely in their bodies – accessible to everyone, not just the select few.
Thriving in the world requires mobility and freedom from pain, but our healthcare system often makes quality orthopedic care inaccessible to those who need it most – those on Medicaid, or Medicare, or who lack insurance. We won’t be able to solve our present orthopedic challenges with a care delivery model designed in the past.
Our collective capacity for medical care is remarkable – and our current system is underestimating it. We need a new orthopedic model, one where we value human beings regardless of income or wealth. Where prices are ethical, not exploitative. Where recovery is expedited, and surgery is a last resort (not a first option for profit-seeking orthopedists).
Our practice is fortunate to have experience in this non-traditional way of thinking. After 17 years of a successful-but-conventional practice, four years ago we went back to the drawing board to ask ourselves what would need to change in order to serve everyone, not just the lucky few who could afford our services. We reinvented the care delivery model, trying different ideas until we discovered a blueprint for delivering the high-quality care our reputation was known for, while also making the prices more ethical and affordable. It took hundreds of hours of reading, conversations, and research to pull off, but we cracked the code.
In summary, if you’re looking for a place with more autonomy, a strong mission and culture, and an opportunity to serve the underserved, we’d love to consider you for the team!
About this Role.
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.
Responsiveness to email, phone, and Epic EMR communications throughout the workday.
Qualifications & Skills:
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
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.
Apply today and be part of something truly transformative at Genesis Orthopedics & Sports Medicine.