ROI Specialist

Phelps Health

1d•Onsite

About The Position

Under the direction of the Director of Health Information Management, the Release of Information Specialist must safeguard and protect the patient’s rights to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA statutes. Additionally, they are required to maintain a professional health care office environment on a day-to-day basis, working with confidential and personal health information in a conscientious manner and providing patients and other requestors with the appropriate level of service. This position serves as the primary contact for non-routine requests for personal health information. They engage in direct customer service and must perform duties and conduct interpersonal relationships in a manner designed to project a positive image of the department and Phelps Health.

Requirements

High School Diploma or GED required.
Ability to work in sometimes stressful environment.
Ability to perform team-oriented job tasks with a conscientious awareness of detail and accuracy.
Strong customer service skills
Successful completion of alpha and numeric screening tests.
Excellent communication skills (oral and written).
College level Medical Terminology course completed.
Ability to know, understand and apply federal and state regulations.
Problem solving and critical thinking skills
Must be able to speak, read and write English.
Data entry skills necessary: Type a minimum of 35 words per minute
Competent use of email, fax machines, scanners and copiers, Word and Excel application skills required

Nice To Haves

Second language abilities a plus

Responsibilities

Interacts with requestors to identify medical records needed for patient care, review, billing or release of information.
Prioritize release of information requests, retrieves medical records from active and inactive and interdepartmental locations, electronically tracks and delivers records in accordance with established procedures.
Performs self-quality checks on all work to assure accuracy of the release, confidentiality and proper invoicing.
Handles requests and inquiries for patient health information whether received via mail, fax, phone or in-person.
Verifies the patient identity and confirms that the authorization is valid.
Ensures the requesting party has a legal right to request a patient’s medical information.
Processes subpoenas and affidavits ensuring proper paperwork has been received.
Notifying management when subpoena's that require a Qualified Protective Order needs to be filled on our behalf.
Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; communicates with insurance companies, government agencies, and law offices regarding requests and is proactive in identifying client concerns, or problems.
Helps resolve customer service matters in a polite manner.
Maintains current knowledge related to applicable statutes, regulations, guidelines and standards necessary to perform job duties.
Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements