Client Service Representative I (Medical Records/Roi)

Ciox Bartlesville , OK 74006

Posted 4 weeks ago

Overview

Full-Time: Monday-Friday 8:00-5:00 PM

Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan

This is an entry level position responsible 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. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Responsibilities

  • Receives incoming requests for information and responds to requests by opening mail, assisting walk-ins and telephone inquiries, and retrieving facsimile inquiries in a timely manner.

  • Date stamps all requests and highlights pertinent data to facilitate processing.

  • Validates requests and authorizations for release of medical information according to established procedures and HIPAA guidelines.

  • Completes release of information requests including retrieving patient's medical charts and returning charts, copying/scanning medical records accurately and correctly, according to requests, established procedures, and established standards of quality and productivity; and electronically transmits medical record to processing operations.

  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.

  • Maintains equipment in excellent operating condition (inside and out) and troubleshoot equipment issues with assistance from the Help Desk department.

  • Provides excellent customer service by being attentive, respectful and professional at all times; insures understanding of customer request and follows-through as promised; being proactive in identifying and addressing member concerns, or problems.

  • Demonstrates helpful and effective telephone etiquette and customer service skills by providing appropriate information to callers.

  • Maintains a neat, clean, and professional personal appearance and observes the dress code established by the Company or the member facility.

  • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area, and insures adequate supplies to meet customer requests.

  • Maintains working knowledge of the current state laws regarding fee structure, and HIPAA regulations as well as facility policies and procedures in regards to release of information.

  • Ability to maintain regular attendance and punctuality as scheduled. Notifies Manager, Operations and/or Supervisor if unable to adhere to daily schedule.

  • Adheres to all Company time and attendance policies or applicable law covering meal breaks and rest periods. Records all accurate work hours in the Company's designated time keeping system daily and adheres to the Company's overtime policy and procedures for requesting time off or change in schedule.

  • Works within scope of position and direction; willingly accepts assignments and is available to take on additional member facilities and assist with ROI backlogs.

  • Performs responsibilities in accordance with the Company's and member facilities policies and procedures and state and federal labor regulations and works to minimize confidentiality breaches.

  • Maintains confidentiality, information security and ethical behavior when handling all Company and medical records information during transport, storage and disposal. Will not remove medical records information from member site unless written authorization is provided by the facility's HIM Director, Company Manager and/or Supervisor and Vice President of Operations.

  • Attends and participates in required educational training sessions and staff meetings as scheduled and assigned.

  • Ability to adapt to change and respond to difficult and challenging situations in a professional manner.

  • Accepts new assignments willingly to meet business needs.

  • Communicates with Manager on an on-going basis, providing information and data as requested including member's changing needs and requests.

  • Promptly reports to Manager any customer service concerns and/or any potential HIPAA violations whether actual or perceived.

  • Informs Manager of site or work difficulties, special project requests from facility, and fluctuating volume in daily workload.

  • Ability to accurately and efficiently utilize a computer for data input, retrieval of data and all other tasks associated with release of information services and time reporting.

  • Ability to work with minimum supervision, organize workload and prioritize work tasks to meet production goals.

  • Ability to recognize emergency situations within context of job duties and communicate potential issues to Supervisor and/or Manager, Operations.

  • Maintains knowledge of safety procedures to ensuring a safe work environment and reports safety concerns to Supervisor and/or Manager, Operations

  • Maintains a current and valid driver's license and insures personal automobile insurance is in force and will be maintained, in at least the amounts required by state law, on any automobile or transportation that is use in connection with Company duties.

  • Checks the Company's and other assigned email and communication systems such as REP Online and member assigned email on a daily basis. Utilizes assigned tools within established guidelines. Performs other tasks as assigned including but not limited to working at facilities within 50 miles of principal site as business needs arise.

  • Adheres to the Company's Code of Conduct and business standards.

Qualifications

  • A High School Diploma or GED is required.

  • Must be able to communicate effectively in the English language.

  • Administrative experience in an office setting; previous release of information, medical records, or other related experience in a healthcare environment is preferred.

  • Proven customer service experience and/or training.

  • Ability to effectively use computer software and technology as required by the member facility including Microsoft Word and Excel

  • Ability to understand and become knowledgeable of Release of Information standards, policies & procedures and HIPAA regulations and to complete work in compliance of these and other standards.

  • Ability to read and comprehend simple, healthcare terminology

  • Effective verbal and written communication skills.

  • Effective organizational skills a must

  • Ability to use fax, copier, microfilm machine, and multiline phone system and other required work tools

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Registration Representative Jane Phillips Medical Center Ascension (Full Time Day)

R1 Revenue Cycle Management

Posted 5 days ago

VIEW JOBS 5/23/2020 12:00:00 AM 2020-08-21T00:00 Shift: Monday-Friday, 8:30-5:00 (will vary) R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patient's and each other. With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. The Patient Registration Representative will be responsible for accurate and timely patient registration utilizing medical systems. This person will assign ICD-10 and CPT codes relative to patient registration. This person will utilize facility medical necessity tool to verify appropriate diagnosis and coverage criteria. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals. In addition to the day to day responsibilities, this person will actively participate in quality improvement and innovative change processes as well as departmental meetings and educational offerings. In this role, the successful candidate must have demonstrated experience handling patients with efficiency and accuracy to broad customer base. Responsibilities: * Perform registration and basic insurance verification, ensuring collection of 7 critical data elements necessary for proper patient identification and billing. * Identify and update patient demographic information on ADT system as defined by departmental policy and procedures. * Interpret physician orders for appropriate testing or admission criteria. * Coordinate patient admission needs and beds assignment to facilitate timely patient placement. * Identify non-participating Insurances or Out of Networks plans; takes necessary steps to inform patients and physicians regarding options, including but not limited to canceling appointment. * Obtain Insurance Card copies or validate insurance information via electronic medical record, transfer information, or insurance eligibility tool. * Provide courteous and accurate patient and hospital information with way finding instructions for patients, families, visitors, and ancillary areas. * Prepare documents for imaging/scanning into electronic patient record. * Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required. * Assemble and disassemble patient charts or departmental documents according to department policy. * Copying and or faxing documents to ancillary areas or physician offices. * Maintain inventory control of forms and paper supplies needed in area. * Assist with all possible account resolutions pertaining to patient balances. * Perform all other duties and projects as assigned. Required Qualifications: * High school diploma or GED required * Experience with customer service * Computer savvy with experience navigating between multiple systems simultaneously * Must have MS Office Experience and excellent typing skills * Must have a high degree of customer service skills in order to communicate effectively with patients, visitors, physicians and care teams * Must demonstrate problem-solving abilities and high attention to detail * Must be able to stand, walk, sit and move freely for extended periods of time * Must be able to work in a patient care environment with exposure to infection or contagious disease Desired Qualifications: * Experience working in a healthcare environment * Completed a Medical Terminology class * Certification in healthcare access preferred Physical Requirements: * See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands. * Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment. * Frequent interactions with associates, patient care providers, patients, and visitors that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. * Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information banding patients, etc. * Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items (over 50 lbs.). Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com #IDDHHI #LI-DH1 #GDDH1 R1 Revenue Cycle Management Bartlesville OK

Client Service Representative I (Medical Records/Roi)

Ciox