ROI Specialist

Job Description

The Release of Information (ROI) Specialist I works under the supervision of the HIM Operations Manager to ensure the data integrity and accurate disclosure of the patient medical information. The ROI Specialist I must adhere to all relevant federal, state, and agency regulations, particularly those pertaining to HIPAA and other privacy standards. You will support clinical staff, revenue cycle staff, process, release records, and maintain quality control over archived records. You will also collaborate on department-specific projects to enhance healthcare operations. This position offers excellent career growth opportunities for those interested in moving on into advanced roles based on performance. Ongoing training is also provided within this role.

Responsibilities

• Processing the release of records to parents, clients, healthcare providers, and insurance organizations. Providing guidance and support for clinical staff regarding medical records. Informing clinicians about the availability/unavailability of records for retrieval and disclosure.
• Ability to determine priorities, maintain confidentiality and handle sensitive issues with self-initiative. Must be able to work with a high level of independence and a high degree of autonomy.
• Ability to multi-task in several processing areas, including but not limited to, handling walk up requests (ROI receptionist), amendment requests, patient restriction requests, multi-line phone system, and processing record requests form faxes and workqueues while working individually or in a team setting.
• Safeguards and protects the patient's right to privacy by ensuring that only authorized individuals have access to patient's medical information when providing support for the MyChart help desk and that all releases of information are in compliance with the requests, authorization, company policy and HIPAA regulations.
• Answers the phones, makes necessary calls and acts as the receptionist for patients, attorneys, insurance companies, physicians, other healthcare providers and hospital staff. Answering incoming ROI telephone calls, directing patients and customers to our website for appropriate forms and/or emailing these to them, assisting patients with filling out requests for records from their patient portal, and managing incoming/outgoing ROI faxes.
• Researches multiple systems to retrieve clinical information from multiple locations, including microfilm, paper and electronic format per compliance guidelines.
• Performs billing functions as related to release of medical information. Request payment balances receipts for deposit, prepares deposit, reconciles monies received, post payments.
• Remains knowledgeable of HIPAA, Federal and State requirements for release of information.
• Performs notary duties.
• Maintains disclosure log as required by HIPAA.
• Attending all HIM department staff meetings and relevant events related to the organization's health information management processes.
• Other duties as assigned

Education

• H.S. Diploma - High school diploma or GED equivalent - Required

Work Experience

• Basic computer and data entry skills - Required
• Previous work experience in a Health Information Services department - Required
• Experience working with an electronic health record system - Required

Licenses and Certifications

• Upon Hire

Travel Requirements

• Travel to off-site locations may be required. - Required

Qualifications

Skills and Abilities

Essential Technical/Motor Skills

• Inputting data, speaking clearly, calibrating equipment, answering phone, precise hand/eye coordination, fine motor skills, good writing skills.

Interpersonal Skills

• Must be courteous
• Work in a professional, caring manner with internal and external customers
• Have the ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality in everything.

Essential Physical Requirements

• Assembling, kneeling, crouching, stooping, reaching, standing, walking, pushing, pulling, lifting, operating, and lifting 10 lbs.

Essential Mental Abilities

• Interpret data, organizational skills, comprehend. Follow rules/instructions.
• Adaptability, short and long-term memory, concentration/alertness, reading.

Essential Sensory Requirements

• Visual skills, hearing, feeling, distinguish colors, manual dexterity.

Exposure to Hazards

Other Skills and Abilities

About Us

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.