Assistant, Release Of Information - Remote, On-Call (Must live in Oregon or SW WA)

Job Summary Under indirect supervision, responsible for processing all Release of Information (ROI) requests in a timely and efficient manner, ensuring accuracy and providing customers with the highest quality product and customer service. The ROI Assistant must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy, State and Federal laws, and HIPAA regulations. Essential Responsibilities Respond/triage in person, telephone, and mail requests from members, outside agencies, clinics, insurance companies, attorneys, physicians and Kaiser Permanente staff regarding release of health record information. Release pertinent health care information through verbal and written communications in accordance with Regional Release of Information guidelines and Federal and State Laws. Assure proper authorization for disclosure by reviewing records for sensitive (HIV, Mental Health, Drug and Alcohol, and Genetic) information and ensuring authorization meets all relevant laws. Utilize computer system applications and equipment to receive and dispatch information to requesting parties for both emergent and non-emergent situations. Analyze and prioritize incoming requests for release of information and code by type (e.g., coordination of care, disability forms, patient reviews, immunizations, attorneys, and insurance companies). Prioritize incoming requests to meet turnaround time requirements. Create and update electronic health record (KPHC) disclosure database with pertinent information for tracking purposes. Abstract requested information from KPHC, Results Reporting, other information applications, and from the paper record for onsite member reviews. Assist members in all facets of onsite reviews, including coordination of appointments, reviewing the record in preparation for the appointment, explaining HIPAA amendment procedures and medical record chart orders, and assisting members to place restrictions on disclosure of information. Communicate with the appropriate physicians regarding requested information for review. Coordinate and complete amendment requests as per HIPAA guidelines. QA invoices (check address, HR #, etc.). Look up/create account number that payment will be posted to when received. Coordinate/track physician completion of forms and requests for narratives from attorneys, insurance companies, etc., and communicate with physicians as needed. Assist with coordination of information for outside referrals by identifying appropriate information from KPHC, Results Reporting, and the paper record per protocol and specific request and sending to the contract physicians. Coordinate the HIPAA‑mandated Disclosure Accounting process to include education and follow‑up to KPNW staff. Reconcile QA and generate department billing, accept monies and route to cash control departments, and problem‑solve billing concerns. Perform other duties as assigned. Basic Qualifications One (1) year of experience in a Medical Record File Service Department, Hospital Medical Records, or two (2) years of experience in a medically oriented office setting with heavy computer use, interaction with patients, insurance companies, and clinicians, or a recent graduate of an accredited Associate Degree Health Information Management (HIM) program. One (1) year of customer service experience. High School Diploma or GED. Preferred Qualifications Two (2) years of recent experience with Protected Health Information (PHI). Experience with electronic medical record systems. Excellent problem‑solving, communication, and negotiation skills. Basic knowledge of Kaiser Permanente departments and functions. #J-18808-Ljbffr Kaiser Permanente Northwest