27 may
|
Genesis Orthopedics & Sports Medicine
|
Bogotá
27 may
Genesis Orthopedics & Sports Medicine
Bogotá
Postúlate en Kit Empleo: kitempleo.com.co/empleo/1ar4k5
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 timeli
Postúlate en Kit Empleo: kitempleo.com.co/empleo/1ar4k5
📌 Third-party Liability (Bogotá)
🏢 Genesis Orthopedics & Sports Medicine
📍 Bogotá