ROI Specialist / HIM ROI

Hartford HealthCare
Manchester, CT, United States
12 days ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Experienced
Experience required
2 years minimum
Working hours
Regular working hours
Languages
English

Tech stack

Databases Computer Literacy Health Information Management Microsoft Office

Job description

Processes requests 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. Enters all requests properly in Epic to ensure timely processing and tracking. Position Responsibilities: Key Areas of Responsibility

  1. Processing 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. Demonstrates adherence to established policies and procedures related to ROI. 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.

  2. Quality Assurance - Performs self-quality checks on work to assure accuracy of the release, confidentiality, proper tracking in ROI database and appropriate invoicing.
  3. 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 inquiries & requisition of supplies.
  4. Education - Actively participate in educational sessions regarding HIPAA or other regulatory requirements and other Release of Information training programs/initiatives.
  5. Performs other duties that relate to the daily functioning of the ROI unit. Working Relationships: Job Title of Individual(s) Reports To: · Mgr Disclosure Mgmt for ROI (HH) · Site Leader HIM (SVMC HHCAH CHH), · Supervisor HIM (HOCC/MSMC) Nature of Supervision: Individual contributor

Requirements

· High School Diploma or Equivalent required Experience: · Minimum o Previous experience in a medical office or HIM department o 2-3 years’ Clerical experience in a Health Care setting. o Knowledge of release of information regulations, both Federal and State. o Good communication skills, both written and verbal. · Preferred: o 2-3 years’ experience in Health Information Management field. o Medical Terminology coursework required. o Knowledge of release of information regulations, both Federal and State o Good communication skills, both written and verbal. Language Skills · Must be able to speak, read and write English. Second language abilities a plus. Knowledge, Skills and Ability Requirements: · Knowledge of release of information regulations, both federal and State. · Computer literate and possess experience with Microsoft Office Suite, Email and other Software. · Excellent communication skills, both verbal and written. · Strong customer skills. · Problem solving and critical thinking skills. · Must be a team player. · Consistently demonstrate tact and diplomacy.

About the company

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system., With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees– we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

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