ROI Specialist / HIM ROI

Hartford HealthCare Corp.•Meriden, CT

4d•Onsite

About The Position

For Behavioral Health Process request 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
Minimum: 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.
Knowledge of release of information regulations, both Federal and State
Good communication skills, both written and verbal.
Second language abilities a plus.

Responsibilities

Receives, sorts, opens and reviews all documented requests for medical records and itemized bills.
Ensures HIPAA compliance by logging all cases in Epic’s Release of Information (ROI) tracking module.
Determines the appropriateness of all requests and processes them within 2-5 days.
Adheres to established policies and procedures related to HHCAH ROI.
Maintains less than 10 requests on the 30-day report.
Interprets and adheres to established policies and procedures related to HIPAA and all applicable HIM Departmental policies.
Performs self-quality checks on work to assure accuracy of the release, confidentiality, proper tracking in HHCAH 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 responds to departmental emails and voicemails in a timely manner.
Answers incoming calls, directs calls to appropriate associates, handles mail distribution, assists and answers walk-in visitors’ inquiries, and requisitions supplies.
Actively participates 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.