ROI Specialist ll

MNGI • Minneapolis, MN

8d • 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 calls. The specialist will also provide HIPAA and FMLA/Disability troubleshooting, coordinate record audits, review legal paperwork, and ensure patient records are transmitted and acquired accurately. Documentation within the EHR system and maintaining patient confidentiality are key aspects of this role. Additional on-site office support may include batching, filing, and mail sorting. The position requires a high school diploma or GED, administrative experience, and customer service experience. Previous release of information or medical records experience in a healthcare setting is preferred, as is an Associate's or Bachelor's Degree in a health care related discipline. RHIT or RHIA certification is also preferred.

Requirements

• High school diploma or GED required
• Administrative experience in an office setting required
• Customer service experience is required
• Knowledge of Microsoft Office applications
• Knowledge of Office equipment, including fax, copier, multi-line phone system, etc.
• Knowledge of Medical terminology
• Knowledge of 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
• Ability to walk, sit, stand, reach overhead, and bend to the floor.
• Ability to use dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment.
• Specific vision abilities required by this job include close vision and ability to adjust focus.
• Ability to lift and transport items up to 10 pounds occasionally.
• Alert to conditions that may impact the safety of patients, employees and visitors.

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
• Employees may be required to travel to other company locations due to staffing and training needs.

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

Benefits

• Health Coverage: Medical, Dental & Vision Insurance
• Retirement: 401(K) with Company Match, Profit Sharing
• Time Off: Generous PTO, Holiday Pay, Floating Holiday
• Disability Coverage: Short & Long-Term Disability
• Family Support: Paid Leave and Disability
• Performance Incentive: Discretionary Bonus Based on Company, Department, and Individual Goals

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED