ROI Specialist / HIM ROI

Hartford Healthcare•Meriden, CT

10d

About The Position

Process requests for medical record and itemized bill copies in a timely and efficient manner, ensuring accuracy and providing the highest quality customer service. Safeguards and protects the patient’s right to privacy by validating written authorizations ensuring that only authorized individuals obtain medical records and other protected health information (PHI) with proper authorization, as outline by Health Information Management Department policies, HIPAA, Federal and State Statutes. All requests are properly entered in Epic to ensure timely processing and tracking.

Requirements

High School Diploma or Equivalent required
Previous experience in a medical office or HIM department
2-3 years’ Clerical experience in a Health Care setting.
Knowledge of release of information regulations, both Federal and State.
Good communication skills, both written and verbal.
Must be able to speak, read and write English.
Computer literate and possess experience with Microsoft Office Suite, Email and other Software.
Excellent communication skills, both verbal and written.
Strong customer skills.
Problem solving and critical thinking skills.
Must be a team player.
Consistently demonstrate tact and diplomacy.

Nice To Haves

2-3 years’ experience in Health Information Management field.
Medical Terminology coursework required.
Second language abilities a plus.

Responsibilities

Receives, sorts, opens and reviews all documented requests; To ensure HIPAA compliance, logs all cases in Epic’s Release of Information (ROI) tracking module, determines appropriateness of all requests then process same within 2-5 days.
Demonstrates adherence to established policies and procedures related to ROI. Maintain less than 10 requests on the 30 day report.
Demonstrates the ability to interpret and adhere to established policies and procedures related to HIPAA and adheres to all applicable HIM Departmental policies.
Performs self-quality checks on work to assure accuracy of the release, confidentiality, proper tracking in ROI database and appropriate invoicing.
Communicates (Educates, updates, responds to inquiries) with internal/external customers (patients, attorneys, law enforcement, auditors, insurance company representatives and other members of the Hartford Healthcare team) effectively and efficiently in a professional and courteous manner regarding requests, as needed, providing high quality customer service via phone/fax/mail or in-person.
Properly respond to departmental emails and voicemails in a timely manner.
Responsible for answering incoming calls, directing calls to appropriate associates, mail distribution, assist and answer walk-in visitors enquiries & requisition of supplies.
Actively participate in educational sessions regarding HIPAA or other regulatory requirements and other Release of Information training programs/initiatives.
Performs other duties that relate to the daily functioning of the ROI unit.