高级ROI医疗记录专员 - 远程
Lead ROI Medical Records Specialist - Remote
职位描述：
Sharecare是一家数字医疗公司，为医疗生态系统中的利益相关者提供软件和技术支持的服务，以帮助提高护理质量、实现更好的结果并降低成本。通过其数据驱动的人工智能洞察、循证资源和全面的平台——包括福利导航、护理管理、居家护理资源、健康信息管理等——Sharecare帮助人们轻松高效地管理自己的医疗保健并改善健康状况。通过其三大业务渠道，Sharecare使医疗保险计划赞助商、医疗系统和医生诊所，以及领先的制药品牌能够大规模推动个性化和基于价值的护理。如需了解更多信息，请访问。
职位概述：
该职位负责及时、高效、准确地处理所有信息释放（ROI）请求，同时提供卓越的客户服务。助理必须始终保护患者隐私，确保只有授权人员可以访问医疗记录，并且所有信息的释放均符合请求、适用的授权、公司政策和HIPAA法规。该职位还通过担任专家、培训者和问题升级点，为团队成员和管理层提供支持。主管在通过指导同事、协助工作分配和监控质量和生产率指标来确保高质量输出和运营一致性方面发挥关键作用。
主要职责：
- 按照既定程序和质量标准，及时、准确地处理ROI请求。
- 根据公司政策和法律指南验证请求和医疗记录释放的授权。
- 进行质量检查，确保所有释放记录的准确性、保密性和正确计费。
- 保持设备处于良好工作状态。
- 通过关注客户的需求、尊重和及时响应，提供卓越的客户服务，主动识别并解决问题。
- 保持整洁专业的外表，并遵守公司的着装规范。
- 保持对适用州法律和费用结构的最新了解。
- 在指定范围内工作，并在出现积压时灵活接受额外任务或账户覆盖。
- 遵守客户现场的政策和程序，包括HIPAA、州和联邦法规以及劳动法。
- 处理机密信息
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Job Description:
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit .
Job Summary:
This positionis responsibleforprocessing all release of information (ROI) requests ina timely,efficientandaccuratemannerwhile delivering exceptional customer service.The Associate mustsafeguard patient privacy at all timesby ensuring that only authorized individuals access medical records, and that all information is releasedin accordance withthe request, applicable authorization, company policies, and HIPAA regulations.This role also provides support to team members and management by serving as a subject matter expert, trainer, and escalation point. The Lead plays a key role in ensuring high-quality output and operational consistency by mentoring colleagues,assistingwith work assignments, and monitoring quality and productivity metrics.
Essential Job Functions:
- Processes ROIrequests,fromfacilitiestimely, accurately andin accordance withestablished procedures and quality standards.
- Validates requests and authorizationsfor medical record releases basedon companypolicy and legal guidelines.
- Performs quality checks to ensure accuracy, confidentiality, andcorrect billing of all releasedrecords.
- Maintains equipment in excellent workingcondition.
- Delivers outstanding customer service by being attentive, respectful,and responsive to client needs,proactivelyidentifyingand resolvingconcerns.
- Maintains a clean, professional appearance andcomplies withthe company dress code.
- Maintainsup-to-dateknowledge ofapplicablestate laws and fee structures.
- Works within assigned scope andisflexible in acceptingadditionalassignments oraccountcoverage during backlogs.
- Complies withclient site policies and procedures, including HIPAA, state and federal regulations, and labor laws.
- Handles confidential information with integrity and professionalism while ensuring efficient,accuraterecord release.
- Provides onboarding and training for new employees.
- Supports customer service by managing escalations and resolving issues.
- Communicateregularly with supervisors and managersregardingquality, client concerns, or system issues.
- Assistswith administrative tasks such as queue management and work assignments.
- Producereports and metrics as requested.
Qualifications:
- Highschool diploma or GEDrequired
- Minimum of 3 years’ ROI fulfillment experience with Sharecare HDS or 4 years of external ROI experiencerequired
- Advanced knowledge of multiple EMR platforms and ROI request types
- Strong organizational and multitasking skills essential
- Proficiencyin Microsoft Office applications
- Strong documentation, communication, and customer service skills
- Demonstrated ability to manage time effectively and meet task deadlines
- Willingness to learn programsand processesquickly
- Self-motivated, dependable, and able to work independently or as part of a team
- Proven ability tomaintainproductivity,utilizationand quality performance standards
- Strong interpersonal and problem-solving skills
- Serve as the Subject Matter Expert (SME) for assigned customer accounts,demonstratingstrong skills in documentation, communication, and organization
- Demonstratesstrong leadership abilities
- Ability toassistwithonboarding and training of new employees
- Ability tomonitorproduction,utilization, and quality of employees
- Ability toassistwith adhering to customer SLAs including, turnaround time (TAT)
Physical Requirements:
- Ability to sit or stand for extended periods
- Physical capacityto lift and carry up to 25lbs
- Manual dexterityis sufficientforlong periodsoftyping, writing, and handling documents
- Visual acuityto read documentsanduse acomputermonitor
- Clear speaking and hearing ability for communication
- AdequateHand-eye coordination and sensoryabilities for job-related tasks
Information Governance Accountabilities:
- Understand the organization's information governance program and the role’s responsibilities
- Participate in required education and compliance training
HIPAA / Compliance:
- Maintain the confidentiality of patient and client information
- Comply withHIPAA standards and all relevant corporate integrity and security obligations
- Report any unethical, fraudulent, orillegal behavior
- Maintain current HIPAA certification annually
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Originally posted on Himalayas