ROI Specialist / HIM ROI

Position Summary

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.

Position Responsibilities

• Processing Hartford Healthcare At Home (HHCAH) Requests – Receives, sorts, opens and reviews all documented requests; To ensure HIPAA compliance, logs all cases in Epic’s Release of Information (ROI) tracking module, determines appropriateness of all requests then process same within 2-5 days.
• Maintain less than 10 requests on the 30 day report.
• Demonstrates the ability to interpret and adhere to established policies and procedures related to HIPAA and adheres to all applicable HIM Departmental policies.
• Quality Assurance - Performs self-quality checks on work to assure accuracy of the release, confidentiality, proper tracking in HHCAH ROI database and appropriate invoicing.
• Customer Service - 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 respond to departmental emails and voicemails in a timely manner. Responsible for answering incoming calls, directing calls to appropriate associates, mail distribution, assist and answer walk-in visitors enquiries & requisition of supplies.

Qualifications

• Education: High School Diploma or Equivalent required.
• Experience: 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.
• Preferred: 2-3 years’ experience in Health Information Management field.
• Medical Terminology coursework required.