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 and accurate disclosure of patient medical information. The specialist follows applicable federal, state, and agency requirements, especially 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 projects to improve healthcare operations. Ongoing training and career growth opportunities are available based on performance.

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 precisely, use fine motor skills, and write well.
Courteous and professional, caring conduct 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 assemble, kneel, crouch, stoop, reach, stand, walk, push, pull, operate equipment, and lift 10 pounds.
Ability to interpret data, organize, comprehend, follow rules and instructions, adapt, concentrate, remain alert, use short- and long-term memory, and read.
Visual, hearing, tactile, color-distinguishing, and manual dexterity abilities.
Travel to off-site locations may be required.

Responsibilities

Process release-of-information requests from parents, clients, healthcare providers, and insurance organizations.
Provide guidance and support to clinical staff regarding medical records, including communicating whether records are available for retrieval and disclosure.
Prioritize work, maintain confidentiality, handle sensitive issues with initiative, and work independently with a high degree of autonomy.
Handle multiple processing areas, including walk-up requests, amendment requests, patient restriction requests, a multi-line phone system, fax requests, and workqueues, individually or as part of a team.
Protect patient privacy by ensuring only authorized individuals access medical information, including when supporting the MyChart help desk, and ensure disclosures comply with requests, authorizations, company policy, and HIPAA regulations.
Answer phones, make calls, and serve as receptionist for patients, attorneys, insurance companies, physicians, healthcare providers, and hospital staff.
Answer incoming ROI calls, direct customers to the website or email forms, assist patients with record requests through the patient portal, and manage incoming and outgoing ROI faxes.
Research multiple systems and retrieve clinical information from microfilm, paper, and electronic records 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 money received, and posting payments.
Maintain knowledge of HIPAA and federal and state requirements for release of information.
Perform notary duties.
Maintain the disclosure log 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.