ROI Specialist / HIM ROI

Hartford HealthCare; Farmington (CT); On-site; USD 42,000 - 56,000; Full time

Job summary

Hartford HealthCare seeks an ROI Clerk to process requests for medical records and itemized bills. You will log cases in ROI tracking, safeguard PHI, and ensure timely processing in Epic. Strong communication and accuracy are essential as you support internal and external customers with professional service.

The role emphasizes HIPAA compliance, quality checks, and collaboration with the HIM team. Relevant experience and health information literacy are preferred.

Qualifications

• High School Diploma or Equivalent required.
• 2-3 years’ Clerical experience in a Health Care setting.
• Knowledge of release of information regulations, both Federal and State.
• Good communication skills, both written and verbal.
• Preferred: 2-3 years’ experience in Health Information Management field.
• Medical Terminology coursework required.
• Familiarity with HIPAA or related privacy regulations.

Responsibilities

• Process requests for medical records and ROI tracking in Epic within 2–5 days.
• Perform self-quality checks for accuracy and proper invoicing.
• Provide high-quality customer service via phone, fax, mail or in person.
• Participate in HIPAA/privacy education and ROI training programs.
• Perform other duties supporting the ROI unit.

Skills

Customer service

Communication skills

Team player

Problem solving

Education

High School Diploma

Tools

Microsoft Office

Epic

Job description

Location Detail

9 Farm Springs Rd Farmington (10566)

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary

Processes requests for medical record and itemized bill copies in a timely and efficient manner, ensuring accuracy and providing the highest quality customer service.

Safeguards and protects the patient’s right to privacy by validating written authorizations ensuring that only authorized individuals obtain medical records and other protected health information (PHI) with proper authorization, as outline by Health Information Management Department policies, HIPAA, Federal and State Statutes. Enters all requests properly in Epic to ensure timely processing and tracking.

Position Responsibilities

Key Areas of Responsibility

• Processing Requests - Receives, sorts, opens and reviews all documented requests; To ensure HIPAA compliance, logs all cases in Epic’s Release of Information (ROI) tracking module, determines appropriateness of all requests then process same within 2-5 days.

Demonstrates adherence to established policies and procedures related to ROI. Maintain less than 10 requests on the 30 day report.

Demonstrates the ability to interpret and adhere to established policies and procedures related to HIPAA and adheres to all applicable HIM Departmental policies.

• Quality Assurance - Performs self-quality checks on work to assure accuracy of the release, confidentiality, proper tracking in ROI database and appropriate invoicing.
• Customer Service - Communicates (Educates, updates, responds to inquiries) with internal/external customers (patients, attorneys, law enforcement, auditors, insurance company representatives and other members of the Hartford Healthcare team) effectively and efficiently in a professional and courteous manner regarding requests, as needed, providing high quality customer service via phone/fax/mail or in-person. Properly respond to departmental emails and voicemails in a timely manner. Responsible for answering incoming calls, directing calls to appropriate associates, mail distribution, assist and answer walk-in visitors inquiries & requisition of supplies.
• Education - Actively participate in educational sessions regarding HIPAA or other regulatory requirements and other Release of Information training programs/initiatives.
• Performs other duties that relate to the daily functioning of the ROI unit.

Working Relationships

Job Title of Individual(s) Reports To:

• Mgr Disclosure Mgmt for ROI (HH)
• Site Leader HIM (SVMC HHCAH CHH)
• Supervisor HIM (HOCC/MSMC)

Nature of Supervision: Individual contributor

Qualifications

Requirements and Specifications:

Education

• High School Diploma or Equivalent required

Experience

• Minimum
• Previous experience in a medical office or HIM department
• 2-3 years’ Clerical experience in a Health Care setting.
• Knowledge of release of information regulations, both Federal and State.
• Good communication skills, both written and verbal.
• Preferred:
• 2-3 years’ experience in Health Information Management field.
• Medical Terminology coursework required.
• Knowledge of release of information regulations, both Federal and State
• Good communication skills, both written and verbal.

Language Skills

• Must be able to speak, read and write English. Second language abilities a plus.

Knowledge, Skills And Ability Requirements

• Knowledge of release of information regulations, both federal and State.
• Computer literate and possess experience with Microsoft Office Suite, Email and other Software.
• Excellent communication skills, both verbal and written.
• Strong customer skills.
• Problem solving and critical thinking skills.
• Must be a team player.
• Consistently demonstrate tact and diplomacy.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.