Engineering
Remote Health Plan Request Bench - Release of Information Specialist
Verisma Systems Inc
Full-Time
Mid-Level
$37k – $42k/yr
Remote
Posted 1mo ago
Tech Stack
Go
Job Description
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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