Lead ROI Medical Records Specialist – After Hours – Day Shift

Job Description:

  • 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 to ensure 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.
  • Complies with client site policies and procedures, including HIPAA, state/federal regulations, and labor laws.
  • Handles confidential information with integrity and professionalism while ensuring efficient, accurate record release.
  • Communicates regularly with supervisors and managers regarding quality, client concerns, or system issues.
  • Assists with administrative tasks such as queue management and work assignments.
  • Produce reports and metrics as requested.

Requirements:

  • High School Diploma (GED) required; degree preferred
  • Minimum 3 years' ROI fulfillment experience with Sharecare HDS or 4 years of external ROI experience required
  • Advanced knowledge of multiple EMR platforms and ROI request types
  • Strong organizational and multitasking skills essential
  • Proficiency in Microsoft Office applications
  • Strong documentation, communication, and customer service skills
  • Demonstrated ability to manage time effectively and meet task deadlines
  • 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
  • Serve as the Subject Matter Expert (SME) for assigned customer accounts, demonstrating strong skills in documentation, communication, and organization
  • Demonstrates strong leadership abilities
  • Ability to monitor production, utilization, and quality of employees
  • Ability to assist with adhering to customer SLAs, including turnaround time (TAT).

Benefits:

  • This role includes working holidays.
  • Maintains a clean, professional appearance and complies with the company dress code.
  • Supports customer service by managing escalations and resolving issues.
  • Provides onboarding and training services for new employees.
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