Health Plan Request Bench Release of Information Specialist III

The Health Plan Request Bench Release of Information Specialist III is responsible for processing medical record requests related to health plan audits, ensuring compliance with HIPAA and other regulations, and providing mentorship and guidance to team members. The role requires proficiency in EMR systems, attention to detail, and a focus on productivity.

Location: Remote

Responsibilities

• Process medical ROI requests related to health plan audits quickly and accurately in compliance with HIPAA regulations
• 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 and Records Requests to correspond to specific audit measures
• Maintain a high level of productivity, efficiency, and accuracy, meeting company standards and performance metrics
• Prioritize workload effectively and work independently while meeting productivity goals
• Maintain necessary background, drug and health screening as required by accounts being supported
• Communicate effectively within the HPR team and in a cross-functional manner, as necessary
• Attain an expert-level understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies
• Serve as an escalation point for HIPAA-related release issues and complex requests
• Utilize Verisma’s reference materials and compliance guidelines to maintain confidentiality and accuracy, assisting with update as needed
• Serve as a mentor, assist in training and coaching to ensure process consistency
• Assist with queue management and provide coverage, as needed
• Attend and actively participate in training sessions, workflow updates and team meetings, as required
• Assist managers and directors with interviewing, training, and mentoring new associates ensuring knowledge transfer and consistency in processes
• Document and report process improvements to leadership while providing feedback to the development team on system enhancements to optimize workflow efficiency
• Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench
• Provide exemplary customer service, maintaining a professional and friendly approach in all interactions
• Perform other related duties, as assigned, to ensure the effective operation of the department and the company
• Live by and promote Verisma Core Values

Requirements

• High school diploma or equivalent required; some college preferred
• RHIT certification preferred
• 5+ 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, particularly Excel; Comfortable navigating multiple EMR systems, with the ability to troubleshoot and adapt to new technologies
• Ability to train and mentor colleagues on complex requests and workflows
• Strong problem-solving, organizational and time management skills with keen attention to detail
• Strong ability to work independently while meeting productivity expectations
• Ability to effectively multi-task or change projects, as needed
• Prior remote experience, preferred