ROI Specialist (On-Site Grand Rapids/Walker, MI)

Description

Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, 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 Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC.

Key Responsibilities / Essential Functions

• Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance
• Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client
• Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC
• validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure
• classifies request type correctly
• logs request into ROI software
• retrieves and uploads requested portions of the patient’s medical chart (from electronic or physical repository)
• performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI)
• checks for accurate invoicing and adjusts invoice as needed
• releases request to the valid requesting entity
• Rejects requests for records that are not HIPAA-compliant or otherwise valid
• For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure
• Documents in ROI software all exceptions, communications, and other relevant information related to a request
• Alerts supervisor to any questionable or unusual requests or communications
• Alerts supervisor to any discovered or suspected breaches immediately
• Alerts supervisor to any issues that will delay the timely …