REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES

The ROI Technician reports to the Manager, HIM and has no direct reports.

POSITION SUMMARY

The HIM ROI Technician (Onsite) is responsible for final preparation of requested Protected Health Information (PHI) per Federal/State laws and regulations. Including completion of verbal and written ROI correspondence, prepayment authorization, invoicing, revenue collection, and payment reconciliation for ROI services. Prepares and produces copies of PHI/medical records for release of information to healthcare facilities, physician, attorneys, third party payers, insurance companies, law enforcement, patients, and their authorized representatives by retrieving from multiple electronic systems and producing records electronically or paper format. Demonstrated ability to maintain a high level of confidentiality regarding patient information. Strong organizational interpersonal skills: attention to detail and the ability to multitask. Provides tier 2 end-user escalated support for the MyChart application.

The HIM ROI Technician (Remote) processes all requests for release of information by locating and retrieving the corresponding protected health information in a timely and efficient manner. Safeguard and protect the patient’s privacy by verifying the release requirements are in accordance with HIPAA guidelines. Must be able to interpret Release of Information Guidelines for validation of all ROI requests received. Verify the accuracy and quality of reproduced work and data entry prior to providing information to the requestor. Ensure that work is performed in accordance with federal and state statutes. Generate cover letters and invoices and mail information to the requestor. Upon receipt of payment, finalize the request and log the payment. Demonstrated ability to maintain a high level of confidentiality regarding patient information. Answer all routine customer inquiries in an efficient and effective manner. Strong organizational /interpersonal skills; attention to detail and the ability to multitask. Position is remote eligible after training and maintaining productivity standards - must be within 100 miles of Toledo.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

• Provide Tier 2 support of MyChart issues reported by the patient community; Perform technical support duties for MyChart to include providing timely service to customers such as resetting passwords, establishing accounts, communicating status of requests, and demonstrating a call closure rate. (Onsite)
• Supports the remote team by completing the output of ROI requests including but not limited to CDs, USBs, paper, electronic submission etc. once payment is received. (Onsite)
• Serves as the medical record custodian designee, by certifying medical records as a public notary as requested. May need to fulfill the role of custodian of records to include attending depositions, hearings, and/or trials. (Onsite)
• Reviews incoming assigned requests for patient health information and screens for all required elements necessary to release information in accordance with state and federal laws (as necessary and applicable). (Remote)
• Monitors the ROI queue and completes work assignments. Retrieves the correct and complete patient record from the electronic medical record (EMR) systems and other patient record sources in response to a valid request; verifies correct information has been reproduced before releasing and in a timely and secure manner; provides release of records by the requested means (e.g., electronic, paper copy, etc.). (Remote)
• May need to fulfill the role of custodian of records to include attending depositions, hearings, and/or trials. (Remote)
• Supports after-hour HIM call center multi line phone systems and serves as a customer representative for HIM responds to requests from patients, healthcare facilities and other third-party requestors including but not limited to legal offices, insurance companies and regulatory agencies. (Remote)
• Logs requests, request status and information released into the electronic Release of Information system and as necessary, any other secondary systems. (Onsite & Remote)
• Ensures charging and posting of correct amounts for payable copies; reconciles receipts and invoices. Follows-up on aged/outstanding invoices with customers, including outside
• vendors, individuals, insurance companies, corporations, attorneys, subpoena services and federal and state institutions. (Onsite & Remote)
• Performs quality checks on records before printing/copying the medical record, prior to release of health information. Contacts appropriate department to have any quality issues reviewed prior to completing the request. (Onsite & Remote)
• Determines validity of authorization and/or type of request; and verifies patient requests, or identity authorized entities (i.e., subpoena, subpoena duces tecum, power of attorney, deposition, affidavits, documentation from insurance companies, workers compensation, requests from patients, doctors, and other healthcare entities). (Onsite & Remote)
• Meets compliance requirements by complying with all federal, state, and local law, rules, and regulations, as well as policies and procedures for the release of health information by applying understanding of such law and using judgment as to how to best respond to a specific request based on the authorization provided for the release of PHI. (Onsite & Remote)
• Access various resources within ProMedica to locate health record information which may be found in secondary records, unfiled material, computerized data and dictated but not transcribed documentation in order to obtain time loss information, diagnosis, treatment, physical limitations, or other required information requested by attorneys, insurance companies, outside providers and others. (Onsite & Remote)
• Accurately and proficiently analyze and interpret the health information to assure appropriate disclosure of health information to attorneys, insurance companies, outside providers of health care and others, as directed by the patient or as compelled by law or regulations. (Onsite & Remote)
• Performs all other duties as assigned. (Onsite & Remote)

This position can be worked remote.

REQUIRED QUALIFICATIONS

Education: Associate degree in Health Information Management or related field; currently enrolled in a CAHIIM (Commission on Accreditation for Health Informatics and Information Management) approved Program or equivalent combination of education, training, and experience.

Skills: Troubleshooting and documenting skills; Able to learn in a self-directed, fast paced, rapidly changing environment; Efficient in Microsoft Office products such as Outlook, Word, Excel, and PowerPoint. Excellent communication (oral and written) & organizational skills, required. Ability to plan, coordinate and organize multiple priorities.

Years of Experience: 2 years’ experience in health information management, physician office, clinical or hospital business office, comparable experience, or applicable college education.

License: N/A

Certification: Public Notary or Eligible to become a Notary Public within 90 days of hire. (Onsite)

PREFERRED QUALIFICATIONS

Education: Degree in CAHIIM (Commission on Accreditation for Health Informatics and Information Management) approved program.

Skills: Knowledge of medical record practice, health information applications with emphasis on medico legal aspects, HIPAA, and other federal, state, and laws and regulations. Ability to exchange information on factual matters with and to explain policies and procedures, rules, regulations, and pertinent laws to internal and external customers. Ability to multi-task and work well in high-stress situations and ability to work with a high degree of accuracy and attention to detail. Ability to work with a variety of customers including patients, attorneys, physicians, internal and external healthcare providers effectively and diplomatically.

Years of Experience: N/A

License: N/A

Certification: AHIMA Certifications of RHIT, RHIA or CHPS

ADDITIONAL QUALIFICATIONS

Access to a reliable and secure high-speed internet connection, with access to a home router and modem. A dedicated home office space that is noise- and distraction-free. The space should have strong wireless connection or a wired Ethernet connection. (Remote)

WORKING CONDITIONS

Personal Protective Equipment: N/A

Physical Demands: N/A

Salary Range: $31,200 - $55,744

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [email protected]

Equal Opportunity Employer/Drug-Free Workplace