Sr. ROI Medical Records Specialist - Remote (After Hours - Evening Shift)

Job Description

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com .

After Hours Schedule

• Evening Shift: Sunday -Thursday 3:00 PM - 11:30 PM EDT

** This role includes working holidays

Job Summary

This position is responsible for processing all release of information (ROI) requests in a timely and efficient manner while delivering exceptional customer service. The Associate must safeguard patient privacy at all times by ensuring that only authorized individuals have access to medical records and that all information is released in accordance with the request, applicable authorization, company policies, and HIPAA regulations.

E s sential Functions

• 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 on all work to assure 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.
• Maintains a clean, professional appearance and complies with dress code standards.
• Maintains up-to-date knowledge of applicable state laws and fee structures.
• Works within assigned scope and is flexible in accepting additional assignments or account coverage during backlogs.
• Complies with client site policies and procedures, including HIPAA, state and federal regulations, and labor laws.
• Handles confidential information with integrity and professionalism while ensuring efficient, accurate record release.
• May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.

Qualifications

• High School Diploma or GED required
• Minimum of 2 years' ROI fulfillment experience with Sharecare HDS or 3 years' of external ROI experience required
• Advanced knowledge of multiple EMR platforms and ROI request types
• Strong documentation, communication, and customer service skills
• Proficiency in Microsoft Office applications
• Strong organizational and multitasking skills essential
• 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

Physical Requirements

• Ability to sit or stand for extended periods
• Physical capacity to lift and carry up to 25 lbs.
• Manual dexterity is sufficient for long periods of typing, writing, and handling documents
• Visual acuity to read documents and use a computer monitor
• Clear speaking and hearing ability for effective communication
• Adequate hand-eye coordination and sensory abilities for job-related tasks

Information Governance Accountabilities

• Understand the organization's information governance program and associated responsibilities
• Participate in compliance education and role-specific training

HIPAA/ Compliance

• Maintain the confidentiality of patient and client information
• Comply with HIPAA standards and all relevant corporate integrity and security obligations
• Report unethical, fraudulent, or unlawful behavior or activity
• Maintain current HIPAA certification annually

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.