ROI Specialist

SBMF; Atlanta (GA); Presencial; USD 40.000 - 56.000; Jornada completa

Descripción de la vacante

The ROI Specialist processes patient information requests from patients, attorneys, insurers, government agencies, and other authorized requestors, ensuring HIPAA compliance and accurate, complete disclosures within policy and turnaround targets.

Responsibilities include logging and validating requests, reviewing authorizations, retrieving records from EHR and legacy systems, applying redactions, and releasing records through the ROI platform while maintaining clear communication and

Formación

• HIPAA privacy rules knowledge and release-of-information regulations.
• Familiarity with electronic health record (EHR) systems and medical terminology.
• Strong attention to detail and accuracy under production deadlines.
• Effective written and verbal communication skills.
• Ability to manage a high-volume queue and prioritize requests.
• Proficiency with standard office and document-management software.

Responsabilidades

• Receive, log, and validate incoming records requests.
• Review authorizations and subpoenas for completeness and legal sufficiency prior to processing.
• Retrieve requested records from client EHR and legacy systems.
• Apply appropriate redactions per state and federal regulations.
• Compile, quality-check, and release completed record sets within required turnaround-time windows.
• Communicate professionally with requestors regarding status, missing information, or fee inquiries.
• Accurately document all request activity and disclosure accounting.
• Identify and escalate unusual, incomplete, or potentially fraudulent requests.

Conocimientos

HIPAA compliance

EHR systems

Attention to detail

Communication skills

Prioritization

Office software

Educación

High school diploma or equivalent

Associate degree preferred

Herramientas

Document management software

Office suite

Descripción del empleo

Description

JOB SUMMARY

The Release of Information (ROI) Specialist is responsible for processing incoming requests for patient health information from patients, attorneys, insurance carriers, government agencies, and other authorized requestors. This role ensures every disclosure is accurate, complete, and compliant with HIPAA, state privacy law, and client-facility policy, while meeting productivity and turnaround-time standards.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Receive, log, and validate incoming records requests, confirming requestor identity and authorization for release.
• Review authorizations and subpoenas for completeness and legal sufficiency prior to processing.
• Retrieve requested records from client electronic health record (EHR) and legacy systems.
• Apply appropriate redactions for state and federally protected information (e.g., substance use, mental health, HIV status, minors) per applicable regulation.
• Compile, quality-check, and release completed record sets through the assigned ROI processing platform within required turnaround-time windows.
• Communicate professionally with requestors regarding status, missing information, or fee inquiries.
• Accurately document all request activity, invoicing detail, and disclosure accounting in the system of record.
• Identify and escape unusual, incomplete, or potentially fraudulent requests to the Team Lead or Compliance.
• Meet or exceed established daily productivity and quality benchmarks.
• Maintain current knowledge of HIPAA, HITECH, and state-specific release-of-information requirements.

QUALIFICATIONS

Education: High school diploma or equivalent required; Associate degree or healthcare/medical office certification preferred.

Experience: Minimum 1 year of experience in medical records, health information management, or a healthcare office setting required. Prior release-of-information or HIPAA-regulated disclosure experience preferred.

KNOWLEDGE, SKILLS & ABILITIES

• Working knowledge of HIPAA privacy rules and release-of-information regulations.
• Familiarity with electronic health record (EHR) systems and medical terminology.
• Strong attention to detail and accuracy under production deadlines.
• Effective written and verbal communication skills.
• Ability to manage a high-volume queue and prioritize competing requests.
• Proficiency with standard office and document-management software.

PHYSICAL REQUIREMENTS & WORK ENVIRONMENT

• Ability to sit for extended periods at a computer workstation.
• Occasional lifting of up to 20 lbs (e.g., record boxes, office supplies).
• Repetitive use of hands/wrists for keyboarding and mouse use.
• Visual acuity sufficient to review detailed medical documentation on screen.

Standard office environment with typical lighting, noise, and temperature conditions. Work is performed at a computer workstation for the majority of the shift.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Employees or applicants needing an accommodation should contact HR; see ChartPro's ADA Reasonable Accommodation and Interactive Process Policy (1.HR.09).

REMOTE WORK ELIGIBILITY

Not eligible at entry level. Remote work may be considered after a minimum of 6 months of tenure, demonstrated full competency in role, and no active disciplinary actions, subject to business need and manager approval. Eligibility is revocable based on performance or operational requirements.