Release of Information Specialist
Classification: Non-exempt
Reports to: Revenue Integrity Manager
Date: 3/21/2024
Summary/Overview
The Release of Information Specialist will be responsible for reviewing, responding to, and tracking requests for medical and billing records. They will pull records in response to requests for pre-payment and post-payment review from private and government payors. They will also pull records in response to HIPAA authorizations, subpoenas, and patient/provider/agency requests. The Release of Information Specialist will ensure all requests for patient records (including subpoenas and HIPAA authorizations) comply with HIPAA regulations, patent privacy laws, and other applicable laws prior to accurately processing the request and distributing the requested information to patients, insurances, and/or attorneys. Success in this role will be demonstrated by responding to all requests accurately and promptly.
Responsibilities
- Reviews and processes requests for medical and billing records from patients (and/or their family/POAs/personal representatives), attorneys, other healthcare providers/facilities, government agencies, etc. in a timely manner
- Verifies identity and confirms that the authorization is valid. Ensures the requesting party has a legal right to request a patient’s medical information
- Ensure accuracy and completeness of medical records that are ultimately produced/distributed
- Coordinate with healthcare providers to obtain necessary medical documentation such as signatures or attestations
- Accesses and provides medical records upon request by the Company’s legal department
- Sends appropriate communications in response to deficient records requests in compliance with Company policy
- Accesses and works within different EMR systems to pull medical records needed to respond to approved requests
- Communicates with the billing team to obtain billing records needed to respond to approved requests
- Using compliant/secure distribution methods, sends medical and billing records to appropriate parties in response to approved requests
- Appropriately names and stores all files created in furtherance of responding to a records request
- Tracks pertinent information regarding all requests for access and distribution of medical and billing records, ensuring timely processing and compliance with regulatory timeframes.
- Attends training sessions and remains aware of HIPAA and other patient privacy laws/regulations
- Complies with all laws/regulations and Company policy on HIPAA, patient privacy, personally identifiable information, and other relevant topics as required
- Other projects related to medical/billing records as assigned by the Revenue Integrity Manager or General Counsel
Education & Experience
- Minimum 1 year of healthcare and medical records preferred
- Detail-oriented and able to maintain data accuracy
- Proficient in MS Office
- Proficient in EMR systems (DoctorNow, iTreat, Tissue Analytics, AltaPoint)
- High school diploma or equivalent
Knowledge, Skills and Abilities
- Knowledge of medical terminology
- Knowledge of HIPAA requirements
- High attention to Detail
- Highly organized
- Operates with a sense of urgency
Physical Requirements
While performing the essential functions of this job, the following are required:
- Talk, hear, and communicate with people over the telephone;
- Use hands and fingers to operate a computer and telephone;
- View computer screens for extended periods of time;
- Sit at a desk for extended periods of time; and
- Regular, predictable attendance.
Work Location Requirements
- The job duties and functions for this position are performed remotely with employee coming into the office on an as needed basis.
Pay Rate: $19.00-22.00/hour
Healing Partners is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, marital status, civil union status, national origin, ancestry, age, parental status, disabled status, veteran status, or any other legally protected classification, in accordance with applicable law.
