Administrative/Release of Information Specialist

Posting ID : A1068526083
Date Posted : 2015-08-19
Category : Admin Office

Manhattan based Medical Review Company seeks responsible Release of Information Specialist for processing all release of information (ROI). Specifically, medical record requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service.

Staff Title: Release of Information Specialist 1 (ROI)

Working Conditions: Full time (M-F) Office and Community Business Settings

?High school diploma or GED
?A minimum of an Associates' Degree in healthcare related discipline desired
?Two years prior work in the medical, billing, or insurance office
?Knowledge, experience and/or training in accurate data entry, office equipment and procedures
?Ability to research claim issues quickly and accurately
?Demonstrates problem-solving skills by thoroughly understanding Plan requirements in order to make decisions regarding claim processing

?Administrative experience in office setting: Previous release of information, medical records, or other related experience in a healthcare environment is preferred
?Proven customer experience and/or training
?Ability to effectively use computer software and technology mainly Microsoft Word and Excel
?Ability to read and comprehend simple, healthcare terminology
?Effective verbal and written communication skills
?Effective organizational skills a must
?Ability to work professionally, effectively, and efficiently in a team environment with customers, management and co-workers
?Must be able to multitask effectively

Job Responsibilities:
?Ensure accurate and timely date entry of incoming records and appeals
?Coordinate the mailing of correspondence (sample, letters, review findings, etc.) pertinent to review activities
?Completes certified mailing documents and maintains such documents for retrieval
?Review correspondence received and identifies the type of document being submitted for action
?Dispositions correspondence for either data entry, Operations Unit Manager review, or processing
?Identifies late appeal request, indicates status on correspondence, and submits to Operations Unit Manager for review and disposition
?Generate daily Tracking Reports for Operation Unit Manager review
?Demonstrates knowledge of and ability to file and retrieve hard copy and electronic documents (letters, worksheets, charts, etc.)
?Prepares documents for scanning
?Resolves problems resulting from Reviewer's inability to locate documents
?Audits randomly selected cases to ensure quality processing
?Documents phone calls and follows up on issues if needed
?Prepares response to P993 Reports for Operations Unit Manager review
?Demonstrates knowledge of data reports (i.e. Open, Closed, Aging) and Account Reports


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