Lead ROI Medical Records Specialist

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

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Logo of Sharecare

Sharecare

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

• Processing all release of information (ROI) requests in a timely, efficient and accurate manner • Ensuring that only authorized individuals access medical records • Validating requests and authorizations for medical record releases based on company policy and legal guidelines • Performing quality checks to ensure accuracy, confidentiality, and correct billing of all released records • Maintaining equipment in excellent working condition • Delivering outstanding customer service • Maintaining up-to-date knowledge of applicable state laws and fee structures • Working within assigned scope and being flexible in accepting additional assignments or account coverage during backlogs • Complying with client site policies and procedures, including HIPAA, state and federal regulations, and labor laws • Handling confidential information with integrity and professionalism • Managing escalations and resolving issues with customer service • Assisting with administrative tasks such as queue management and work assignments • Producing reports and metrics as requested

🎯 Requirements

• High school diploma or GED required • Minimum of 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 assist with onboarding and training of new employees • Ability to monitor production, utilization, and quality of employees • Ability to assist with adhering to customer SLAs including turnaround time (TAT)

🏖️ Benefits

• Exceptional customer service • Onboarding and training for new employees

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