Senior ROI Specialist
About the role
The Senior Release of Information (ROI) Specialist processes all requests for patient health information (PHI) in accordance with federal and state laws, including HIPAA, as well as organizational policies. This role involves handling highly sensitive, confidential, and legally protected information with accuracy, professionalism, and compliance.
Responsibilities
- Cover all requests for patient health information to all requestors including patients, physicians, health care providers, insurance companies, and attorneys in accordance with Hospital policy, State and HIPAA laws.
- Process subpoenas and court orders.
- Validate patient authorization in accordance with Hospital policy, HIPAA, State and Federal Law.
- Report medical data to health care professionals in accordance with hospital and departmental policies.
- Attend educational sessions to maintain knowledge of NYS law and HIPAA regulations ensuring skills are inclusive of the new and upcoming regulatory changes.
- Maintain active certification requirements if applicable.
- Adapt to the diversity of the customer to understand complex issues.
- Safeguard PHI in accordance with HIPAA laws and regulations.
Qualifications
- High School Diploma/G.E.D. - required
- Associate's Degree in HIM or related field - preferred
- 4-6 years experience in Health Information Management (HIM), Release of Information or related work environment - required
- Proficient in using electronic health records, specifically EPIC and OnBase
- Skilled in data entry with strong attention to detail and accuracy
- Advanced knowledge/application of computer software and office equipment such as Word, Excel, Nitro Pro, Adobe, fax machines, scanners and copiers
- Excellent verbal/written communication and delivery skills
- Strong customer service and recovery skills
- In-depth understanding of HIPAA, state-specific privacy laws and federal regulations
- Strong problem-solving and critical thinking skills
- Ability to work in fast-paced and stressful environments
- Capable of managing high volumes of requests and multitasking when necessary to optimize productivity
- Strong organizational skills
- Ability to make decisions independently and escalate accordingly when necessary
Skills
- Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Lifting - Rarely
- Carrying - Rarely
- Pushing - Rarely
- Pulling - Rarely
- Climbing - Rarely
- Stooping - Rarely
- Kneeling - Rarely
- Crouching - Rarely
- Crawling - Rarely
- Reaching - Rarely
- Handling - Occasionally
- Grasping - Occasionally
- Feeling - Rarely
- Talking - Constantly
- Hearing - Constantly
- Repetitive Motions - Frequently
- Eye/Hand/Foot Coordination - Frequently
- Working Conditions - Extreme cold - Rarely, Extreme heat - Rarely, Humidity - Rarely, Wet - Rarely, Noise - Occasionally, Temperature Change - Rarely, Atmospheric Conditions - Rarely, Vibration - Rarely
Workforce member responsibilities
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.