ROI Specialist Lead at Craig Hospital – Englewood, Colorado

The Release of Information Lead is responsible for leading the team of ROI Specialists and overseeing the daily work activities of Release of Information. This position manages the workflow and adjusts work assignments as needed to cover peak periods and any employee leaves. This position is responsible for resolving issues and investigating complaints/concerns related to Release of Information. Duties include interpreting and responding to written and verbal requests for release of information from medical records in accordance with confidentiality, privacy and security policies and procedures. This position will work closely with internal departments, such as Clinical Case Management and the Business Office, as well as external resources, such as legal entities and insurance companies, to ensure all requests for release of information are processed in an efficient and timely manner.

Rate of pay: $19.58-28.20 per hour

POSITION REQUIREMENTS

• Licensure/Certification/Registrations: None
• Education: High School diploma or GED required. Associate degree from an accredited college or university preferred.
• Experience: 3-5 years of ROI experience required. 1-3 years of Quality Assurance experience preferred.
• Skills & Abilities: Excellent organizational skills. Outstanding written and oral communication skills, Ability to work independently but also collaboratively as a member of a team. Ability to organize, prioritize and meet deadlines, while effectively managing multiple projects simultaneously. Ability to successfully handle multiple priorities, prioritize appropriately and manage frequent interruptions. Good problem-solving skills, detail oriented and excellent follow-through. Ability to relate to persons of all ages and diverse backgrounds, skills and abilities. Knowledge of basic medical terminology and medical record organization and content; Ability to determine if an authorization for release of information is HIPAA compliant. The ability to prepare letters and other written communications using proper grammar, spelling and punctuation; must be able to successfully and effectively communicate with a variety of personnel. Ability to deal with diverse and confidential information with discretion and good judgment. Must have strong computer skills and be proficient in all Microsoft Office products.

• Manages workflow among ROI Specialists to ensure productivity and quality standards are met.
• Adjusts work assignments as needed to cover peak periods and vacation or other employee leaves.
• Regularly review work queues and any outstanding ROI requests or related tasks.
• Respond in a timely manner to requests for release of medical information according to state and federal regulations and hospital policies ensuring that information is only released upon receipt of a HIPAA-compliant authorization and ensuring that only the minimum necessary information is released.
• Assists patients with obtaining copies of their medical records according to the Colorado Department of Health and Environment’s patient access regulations and hospital policy.
• Process release for medical information within established time frames while responding to urgent verbal/telephone requests for information within 24 hours of receipt or sooner as agreed upon by requester.
• Process continuing care requests and authorizations for current inpatients to release to providers for continuing care.
• Coordinate the HIM portion of the quarterly Outreach Clinic, which includes the tracking of document completion, processing release of information requests as they pertain to the Outreach Clinic.
• Communicate with attorneys and law enforcement, auditors, and insurance company representatives as well as other members of the Craig Hospital team regarding requests as needed.
• Assist with the data retrieval for medical staff clinical monitors and other quality improvement related studies, based on pre-established criteria.
• Assist patients and staff with the HIPAA Privacy policies and procedures relative to the HIM department responsibilities regarding authorizations, patient access, request for amendments, accounting of disclosures and minimum necessary standards.
• Lead staff by demonstrating good work ethics, professionalism and dedication to the job.

** This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.

Craig Hospital Benefits:

Benefit Eligible Positions:

At Craig Hospital, we offer a wide range of outstanding benefits that allow our employees to tailor a benefits package that meets their individual needs. Planning a family or looking forward to retirement we have options. Our medical insurance is a self-funded plan administered by Allegiance Benefit Plans with a CIGNA network of providers offering two different comprehensive plans. We offer dental insurance through Delta Dental, and vision insurance through EyeMed. Craig offers Health Care and Dependent Care Spending Accounts. Craig also provides, and pays for both Short Term and Long-term Disability Insurance plans for every benefit-eligible employee. We offer generous time-off benefits to allow you to enjoy your time away from work too! Additionally, we have a 403b Retirement Plan with a generous matching contribution through Empower Retirement that you are eligible for upon hire. Want to go back to school? We have Tuition Assistance. Unexpected emergency? We have Employee Assistance Programs and an Employee Emergency Assistance Fund.

At Craig, we believe in offering best-in-class benefits and prioritize benefits to support you.