Health Plan Request Bench Release of Information Specialist I
Summary of Position:
The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) I processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS I independently prioritize tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements.
Duties & Responsibilities:
- Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements
- Utilize Verisma software applications to input, manage, and track medical records
- Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete
- Interpret medical records, forms, and authorizations to correspond to specific audit measures
- Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics
- Prioritize workload effectively and work independently while meeting productivity goals
- Communicate effectively within the HPR team and in a cross-functional manner, as necessary
- Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies
- Utilize Verisma’s reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks
- Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes
- Attend and actively participate in training sessions, workflow updates and team meetings, as required
- Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
- Perform other related duties, as assigned, to support the effective operation of the department and the company
- Live by and promote Verisma Core Values
Minimum Qualifications:
- High school diploma or equivalent required; some college preferred
- RHIT certification preferred
- 3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests
- Knowledge of HIPAA and state regulations related to the release of protected health information
- Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
- Clerical or office experience with data entry, document management and proficiency in using general office equipment
- Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies
- Strong problem-solving, organizational and time management skills with keen attention to detail
- Strong ability to work independently while meeting high productivity expectations
- Ability to effectively multi-task or change projects, as needed
- Prior remote experience, preferred