Lead ROI Medical Records Specialist – After Hours – Day Shift

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🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

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Sharecare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

⚕️ Healthcare Insurance

☁️ SaaS

🧘 Wellness

💰 $425M Post-IPO Equity on 2021-07

Healthcare Insurance • SaaS • Wellness

Sharecare is a comprehensive digital health platform designed to improve overall well-being. It provides tools and resources to help individuals manage various aspects of their health, such as physical, mental, and financial wellness. Sharecare offers personalized health navigation through its digital window, helping members track healthy habits, receive research-backed health tips, and access digital therapeutics across various conditions, including asthma and women's health. The platform integrates AI capabilities to empower users to manage their health data effectively. Partnering with CareLinx, Sharecare extends caregiving into homes, leveraging technology for data analytics and real-time coordination with clinical teams. Additionally, Sharecare collaborates with various organizations to enhance community health and well-being through innovative initiatives like the Community Well-Being Index. Its mission is to make healthcare resources more accessible and improve health outcomes while reducing care costs.

📋 Description

• Processes ROI requests from facilities timely, accurately, and in accordance with established procedures and quality standards. • Validates requests and authorizations for medical record releases based on company policy and legal guidelines. • Performs quality checks to ensure accuracy, confidentiality, and correct billing of all released records. • Maintains equipment in excellent working condition. • Delivers outstanding customer service by being attentive, respectful, and responsive to client needs proactively identifying and resolving concerns. • Complies with client site policies and procedures, including HIPAA, state/federal regulations, and labor laws. • Handles confidential information with integrity and professionalism while ensuring efficient, accurate record release. • Communicates regularly with supervisors and managers regarding quality, client concerns, or system issues. • Assists with administrative tasks such as queue management and work assignments. • Produce reports and metrics as requested.

🎯 Requirements

• High School Diploma (GED) required; degree preferred • Minimum 3 years' ROI fulfillment experience with Sharecare HDS or 4 years of external ROI experience required • Advanced knowledge of multiple EMR platforms and ROI request types • Strong organizational and multitasking skills essential • Proficiency in Microsoft Office applications • Strong documentation, communication, and customer service skills • Demonstrated ability to manage time effectively and meet task deadlines • Willingness to learn programs and processes quickly • Self-motivated, dependable, and able to work independently or as part of a team • Proven ability to maintain productivity, utilization, and quality performance standards • Strong interpersonal and problem-solving skills • Serve as the Subject Matter Expert (SME) for assigned customer accounts, demonstrating strong skills in documentation, communication, and organization • Demonstrates strong leadership abilities • Ability to monitor production, utilization, and quality of employees • Ability to assist with adhering to customer SLAs, including turnaround time (TAT).

🏖️ Benefits

• This role includes working holidays. • Maintains a clean, professional appearance and complies with the company dress code. • Supports customer service by managing escalations and resolving issues. • Provides onboarding and training services for new employees.