Lead ROI Medical Records Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Efficiently process release of information (ROI) requests from facilities with accuracy and timeliness.

• Verify requests and authorizations for medical record releases in accordance with company policies and legal regulations.

• Conduct quality checks to ensure accuracy, confidentiality, and appropriate billing of released records.

• Keep equipment in optimal working condition.

• Provide exceptional customer service and effectively address client concerns.

• Stay informed about relevant state laws and fee structures.

• Take on additional assignments or cover accounts during periods of backlog.

• Adhere to client site policies, HIPAA regulations, state and federal laws, as well as labor laws.

• Manage confidential information while ensuring the efficient and accurate release of records.

• Act as a subject matter expert, trainer, and escalation point for issues.

• Facilitate onboarding and training for new hires.

• Handle escalations and resolve customer service challenges.

• Maintain regular communication with supervisors and managers regarding quality, client issues, and system matters.

• Assist in managing queues and delegating work assignments.

• Generate reports and metrics as needed.

• Monitor quality, productivity, utilization, employee performance, and adherence to customer service level agreements (SLAs).

⛳️ Requirements

• High school diploma or GED is a mandatory requirement.

• At least 3 years of ROI fulfillment experience with Sharecare HDS or 4 years of external ROI experience is essential.

• In-depth knowledge of various EMR platforms and types of ROI requests.

• Excellent organizational and multitasking abilities.

• Proficient in Microsoft Office applications.

• Strong skills in documentation, communication, and customer service.

• Proven ability to effectively manage time and meet deadlines.

• Eagerness to quickly learn new programs and processes.

• Self-motivated, reliable, and capable of working independently or collaboratively as part of a team.

• Consistent ability to maintain productivity, utilization, and quality performance standards.

• Exceptional interpersonal and problem-solving skills.

• Strong capabilities in documentation, communication, and organizational tasks.

• Demonstrated leadership qualities.

• Ability to assist in onboarding and training of new staff members.

• Capability to monitor employee productivity, utilization, and quality.

• Ability to ensure compliance with customer SLAs, including turnaround time (TAT).

• Capacity to sit or stand for long durations.

• Physical ability to lift and carry up to 25 lbs.

• Manual dexterity adequate for extended periods of typing, writing, and document handling.

• Visual acuity required to read documents and operate a computer monitor.

• Clear speaking and hearing abilities for effective communication.

• Sufficient hand-eye coordination and sensory skills for job-related tasks.

• Understand the organization's information governance program and the responsibilities of the role.

• Participate in mandatory education and compliance training.

• Maintain current HIPAA certification on an annual basis.

• Adhere to HIPAA standards and relevant corporate integrity and security requirements.

🏝️ Benefits

• Equal Opportunity Employer.

• E-Verify user.