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Health Information Release of Information Representative I

SSM Health • Oklahoma City, OK • 3d ago

It's more than a career, it's a calling.

OK-SSM Health St. Anthony Hospital - Oklahoma City

Worker Type:

Regular

Job Summary:

Responsible for processing release of information (ROI) requests, including: receiving, prioritizing, entering the requests into the electronic health records module, retrieving patients' medical records in the electronic health record, copying/scanning/e-delivery of medical records, and processing invoices and collecting payments.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

Processes requests for release of information (e.g.: records released to employers, insurance companies, and attorney offices, the appeal/denial of benefits, and internal legal/risk management purposes) in compliance with Health Insurance Portability and Accountability Act (HIPAA) and established protocols while maintaining high patient satisfaction.

Performs quality assurance (QA) checks to validate Health Insurance Portability and Accountability Act (HIPAA) compliance during intake, processing, and completion requests for information.

Prioritizes and prepares all request for information related documents and enters the requests and authorizations into electronic health record release of information modules.

Retrieves records in response to requests for information while reviewing records for appropriate dates of service, verification of identity, and specific content requested.

Demonstrates helpful and effective telephone etiquette and customer service skills by providing appropriate information to callers. Deals calmly with customers in stressful and escalating situations.

Communicates with outside customers (i.e.: attorneys, law enforcement, auditors, and insurance company representatives) regarding record delivery, expediting requests, and managing complaints or concerns.

Interacts with internal staff when requests are made for information which is not available in the electronic health record and requests for psychiatry records.

Assists patients with completing authorizations to release personal health information (PHI) and guides them through the request for information process.

Prepares invoices, receives payment information and collects payments for services provided by following established departmental and company protocols.

Sends requested medical records to requestors in a variety of formats.

Performs other duties as assigned.

EDUCATION

High School diploma/GED or 10 years of work experience

EXPERIENCE

Two years' experience

PHYSICAL REQUIREMENTS

Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

Frequent keyboard use/data entry.

Occasional bending, stooping, kneeling, squatting, twisting and gripping.

Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

None

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

3806000040 Cancer Care of Oklahoma

Scheduled Weekly Hours:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits (https://jobs.ssmhealth.com/us/en/benefits)

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status ,_ or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?\ga=2.205881493.704955970.1667719643-240470506.1667719643)

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