ROI Specialist ll

MNGI•Minneapolis, MN

10d•$21 - $24•Hybrid

About The Position

The ROI Specialist II is responsible for processing requests for the release of health information in accordance with HIPAA and practice regulations. This role involves managing FMLA paperwork, preparing forms, communicating with various parties to verify release needs, monitoring provider approvals, sorting and prioritizing incoming information, and answering patient, staff, and provider calls. The specialist will also provide HIPAA and FMLA/Disability troubleshooting, coordinate third-party record audits, review legal paperwork, and ensure the transmission and acquisition of patient records. Additionally, they will document all releases in the EHR system, maintain patient security and confidentiality, and respond to patient inquiries regarding the Patient Portal. The role also includes additional on-site office support such as batching/filing of records and mail support, all while maintaining patient confidentiality.

Requirements

High school diploma or GED required
Administrative experience in an office setting required
Customer service experience is required
Microsoft Office applications
Office equipment, including fax, copier, multi-line phone system, etc.
Medical terminology
Release of Information standards, policies, and procedures and HIPAA compliance and regulations
Compassionate patient care
Active listening
Problem solve, prioritization, and critical thinking
Attention to detail
Organization and time management
Multitask
Communicate effectively verbally and in writing
Work independently as well as in a team environment
Type proficiently and accurately

Nice To Haves

Associates’ or Bachelors’ Degree in health care related discipline preferred
Previous release of information, medical records, or other related experience in a health care environment is preferred
RHIT or RHIA certificate is preferred

Responsibilities

Process requests for release of health information, including physicians, attorneys, patients, health care providers, 3rd party payers and other authorized parties in accordance with HIPAA and practice regulations.
Process and track all FMLA paperwork requests.
Prepare forms for internal and external clinics.
Process Release of Information for patients, both internal and external clinics.
Communicate effectively with patients, insurance companies, attorneys, and 3rd party release companies to verify release needs ensuring HIPAA compliance.
Monitor provider approval via text, task, and email.
Sort and prioritize incoming information (faxes, emails, mail, Adobe, and phone calls).
Answer and triage all patient, staff and provider calls.
Interact daily with patients.
Provide HIPAA, escalation calls and FMLA/Disability troubleshooting for other departments.
Coordinate 3rd party record audits.
Ensure that proper authorization is provided for all releases.
Legal paperwork review, reporting and data entry.
Provide the transmission and acquisition of patient records between health clinics.
Document all releases within EHR (Electronic Health Records) system in accordance with company policy.
Apply and maintain standards regarding patient security and confidentiality in accordance with HIPAA and practice regulations.
Complete all work accurately in a timely and efficient manner.
Respond to patient emails and phone calls in regards to Patient Portal.
Promote a culture of caring through interactions with internal and external customers.
Batching/ filing of records.
Mail Support.
Sort all incoming mail for HIM Teams and batching/filing.
Maintain patient confidentiality in accordance with HIPAA and practice regulation.
Other duties may be assigned to meet business needs.