Remote Health Plan Request Bench - Release of Information Specialist
Location
United States
Posted
71 days ago
Salary
$18 - $20 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Remote Health Plan Request Bench - Release of Information Specialist
Verisma
Health Plan Request Bench Release of Information Specialist I Summary of Position: The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) I processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS I independently prioritize tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements. Duties & Responsibilities: - Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements - Utilize Verisma software applications to input, manage, and track medical records - Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete - Interpret medical records, forms, and authorizations to correspond to specific audit measures - Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics - Prioritize workload effectively and work independently while meeting productivity goals - Communicate effectively within the HPR team and in a cross-functional manner, as necessary - Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies - Utilize Verisma’s reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks - Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes - Attend and actively participate in training sessions, workflow updates and team meetings, as required - Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench - Perform other related duties, as assigned, to support the effective operation of the department and the company - Live by and promote Verisma Core Values Minimum Qualifications: - High school diploma or equivalent required; some college preferred - RHIT certification preferred - 3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests - Knowledge of HIPAA and state regulations related to the release of protected health information - Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench - Clerical or office experience with data entry, document management and proficiency in using general office equipment - Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies - Strong problem-solving, organizational and time management skills with keen attention to detail - Strong ability to work independently while meeting high productivity expectations - Ability to effectively multi-task or change projects, as needed - Prior remote experience, preferred
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