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Verisma Systems Inc
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

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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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