Health Plan Request Bench Release of Information Specialist III

Duties & Responsibilities

• Process medical ROI requests related to health plan audits quickly and accurately in compliance with HIPAA regulations
• 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 and Records Requests to correspond to specific audit measures
• Maintain a high level of productivity, efficiency, and accuracy, meeting company standards and performance metrics
• Prioritize workload effectively and work independently while meeting productivity goals
• Maintain necessary background, drug and health screening as required by accounts being supported
• Communicate effectively within the HPR team and in a cross-functional manner, as necessary
• Serve as an escalation point for HIPAA-related release issues and complex requests
• Utilize Verisma’s reference materials and compliance guidelines to maintain confidentiality and accuracy, assisting with update as needed
• Serve as a mentor, assist in training and coaching to ensure process consistency
• Absorb and provide feedback to the development team on system enhancements to optimize workflow efficiency
• Document and report process improvements to leadership

Qualifications

• High school diploma or equivalent required; some college preferred
• RHIT certification preferred
• 5+ 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, particularly Excel; Comfortable navigating 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 productivity expectations. Ability to effectively multi-task or change projects, as needed
• Prior remote experience, preferred