Specialist-HIMS

Mayo Career Site US; Jacksonville (FL); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Mayo Clinic is seeking an HIMS Specialist to process continuation of care and medical information requests. You will handle ROI tasks, verify authorizations, and coordinate with clinicians to ensure complete, timely documentation while maintaining strict privacy of PHI.

The role emphasizes independent work, strong customer service, and professional communication across electronic and written channels. Hybrid work arrangement with relocation considerations.

Qualifications

• Knowledge of an electronic health record (EHR), Epic preferred, and basic medical terminology.
• ROI experience and customer service experience preferred.
• Analytical skills to ensure compliance with Federal/State, Joint Commission and CMS regulations.
• Ability to work independently with minimal supervision.
• Familiarity with privacy and confidentiality of protected health information.

Responsibilities

• Process continuation of care and patient-directed requests for medical information.
• Provide customer service for walk-ins and handle mail, authorizations, and records requests.
• Coordinate with clinicians to ensure documentation is complete and timely.
• Adhere to privacy laws and confidentiality of PHI.
• Communicate professionally via electronic, written, and verbal methods.

Skills

EHR knowledge

Epic experience

Medical terminology

Customer service

Attention to detail

Privacy/compliance

Tools

Epic EMR

Job description

The HIMS Specialist should have a knowledge of an electronic health record (EHR), Epic preferred, and a basic understanding of medical terminology. The candidate is primarily responsible for the comprehensive processing of continuation of care and patient-directed requests for medical information to include customer service for walk-ins, opening and processing incoming mail, verifying authorizations, requesting historical medical records, and preparing correspondence in response to a request for medical information. Prefer that the candidate has prior ROI experience and customer service experience.

Analyzes patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations. Coordinates with clinicians to ensure documentation contains all required elements and is completed in a timely manner. Adhere to institutional policies regarding health care documentation. Utilizes independent analytical and critical thinking skills.

Works independently and collaboratively across the enterprise with minimal supervision. Adheres to guidelines with regard to accessing minimum necessary information to complete job functions. Adheres to state and federal rules regarding privacy and confidentiality of protected health information. Leverages technology to serve the patients and practice. Professionally communicates through all electronic, written, and verbal methods. Ensures great customer service while assisting patients, care providers, allied health staff, attorneys, insurance companies, government audits, and others in a courteous, professional, and confidential manger.

Analyzes patient information to ensure compliance with standards established by Federal/State & Joint Commission & CMS regulations. Coordinates with clinicians to ensure documentation contains all required elements and is completed in a timely manner. Adheres to institutional policies regarding health care documentation. Utilizes independent analytical and critical thinking skills. Works independently and collaboratively across the enterprise with minimal supervision. Adheres to guidelines with regard to accessing minimum necessary information to complete job function. Adheres to state and federal rules regarding privacy and confidentiality of protected health information. Leverages technology to serve the patients and practice. Professionally communicates through all electronic, written, and verbal methods. Ensures great customer service while assisting patients, care providers, allied health staff, attorneys, insurance companies, government audits, and others in a courteous, professional and confidential manner.

*Please note that relocation to a Mayo Clinic site is required to meet the Hybrid requirements of this role.

This is a hybrid position that is primarily remote. Candidates must reside within 100 miles of a Mayo Clinic campus to meet occasional on-site requirements based on business needs. Mayo Clinic campuses are located in Arizona, Florida, Minnesota, and Wisconsin

**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.