ROI Specialist

Mosaic Life Care•Saint Joseph, MO

About The Position

The Release of Information (ROI) Specialist I works under the supervision of the HIM Operations Manager to ensure the integrity of data and accurate disclosure of patient medical information. The specialist follows relevant federal, state, and agency regulations, particularly HIPAA and other privacy standards. The role supports clinical and revenue cycle staff, processes and releases records, maintains quality control over archived records, and collaborates on department-specific projects to improve healthcare operations. Ongoing training and opportunities for career growth into advanced roles based on performance are offered.

Requirements

High school diploma or GED equivalent.
Basic computer and data-entry skills.
Previous work experience in a Health Information Services department.
Experience working with an electronic health record system.
Ability to input data, speak clearly, calibrate equipment, answer phones, coordinate hand and eye movements, perform fine motor tasks, and write well.
Courtesy and a professional, caring manner when working with internal and external customers.
Ability to work with interruptions and flexibility in hours and workflow, foster teamwork, and promote service and quality.
Ability to interpret data, stay organized, comprehend information, follow rules and instructions, adapt, maintain memory and concentration, remain alert, and read.
Visual, hearing, tactile, color-discrimination, and manual-dexterity abilities.
Ability to perform physical activities including assembling, kneeling, crouching, stooping, reaching, standing, walking, pushing, pulling, operating equipment, and lifting up to 10 pounds.
Travel to off-site locations may be required.

Responsibilities

Process releases of records to parents, clients, healthcare providers, and insurance organizations.
Provide guidance and support to clinical staff regarding medical records.
Inform clinicians about the availability or unavailability of records for retrieval and disclosure.
Prioritize work, maintain confidentiality, and handle sensitive matters with initiative and autonomy.
Multitask across processing areas, including walk-up requests, receptionist duties, amendment requests, patient restriction requests, phone calls, fax requests, and work queues.
Protect patients’ privacy by ensuring only authorized individuals access medical information, including when supporting the MyChart help desk, and ensure releases comply with requests, authorizations, company policy, and HIPAA.
Answer and direct calls and serve as receptionist for patients, attorneys, insurance companies, physicians, other healthcare providers, and hospital staff.
Direct callers to the appropriate website forms or email forms, help patients submit record requests through their patient portal, and manage incoming and outgoing ROI faxes.
Research multiple systems and retrieve clinical information from microfilm, paper, and electronic sources in accordance with compliance guidelines.
Perform billing functions related to release of medical information, including requesting payment balances and receipts for deposit, preparing deposits, reconciling received funds, and posting payments.
Maintain knowledge of HIPAA and federal and state requirements for release of information.
Perform notary duties.
Maintain disclosure logs as required by HIPAA.
Attend HIM department staff meetings and relevant events related to the organization’s health information management processes.
Perform other duties as assigned.