Remote Health Plan Request Bench - Release of Information Specialist

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