Top 4 Prior authorization specialist Jobs in Mobile, Al

Release of Information Specialist Mon-Fri 8am-4:30pm
Vital Holdings LLC —Mobile, AL
- $14 - $15 an hour
- Monday to Friday
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
PRN Patient Experience Associate/Care Coordinator
Sage Health —Mobile, AL
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply

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Release of Information Specialist Mon-Fri 8am-4:30pm
Vital Holdings LLC —Mobile, AL
Validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure.
$14 - $15 an hour
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Release of Information Specialist Mon-Fri 8am-4:30pm

Vital Holdings LLC -
Mobile, AL

Quick Apply

Job Details

$14 - $15 an hour

Qualifications

Windows
High school diploma or GED
Productivity software

Full Job Description

Description:

Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC (“VRC”) is responsible for processing all assigned requests for medical records in a timely, efficient manner while ensuring accuracy and the highest quality service to healthcare clients. This position must, always, 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 Release of Information requests follow the request authorization, VRC, and healthcare facility policies as well as federal/state statutes, such as HIPAA. Additionally, this position is required to continually perform at a high quality and productivity level. This position interacts with the ROI Area Manager and/or ROI Team Leader regularly and will keep them informed of any concerns or issues regarding quality, connectivity, client concerns, and requestor issues that may impact VRC performance or service expectations. This position must conduct interpersonal relationships in a manner designed to project a positive image of VRC.

Key Responsibilities / Essential Functions

Assigned Release of Information request types will primarily be Continuing Care and Disability Determination Services, with cross-training on other request types as supervisor deems appropriate based on experience and performance
Accesses Release of Information requests and medical records for healthcare client(s) according to the specific procedure and security protocol for each client
Completes Release of Information requests daily, prioritizing requests as needed based on turnaround timeframes and procedures of VRC and the service agreement between the healthcare facility and VRC
validates requests and signed patient authorizations for compliance with HIPAA, other applicable federal and state statutes, and established procedure
classifies request type correctly
logs request into ROI software
retrieves and uploads requested portions of the patient’s medical chart (from electronic or physical repository)
performs Quality Control checks to ensure accuracy of the release and to avoid breaches of Protected Health Information (PHI)
checks for accurate invoicing and adjusts invoice as needed
releases request to the valid requesting entity
Rejects requests for records that are not HIPAA-compliant or otherwise valid
For records pulled from a physical repository, returns records to proper location per VRC and healthcare client procedure
Documents in ROI software all exceptions, communications, and other relevant information related to a request
Alerts supervisor to any questionable or unusual requests or communications
Alerts supervisor to any discovered or suspected breaches immediately
Alerts supervisor to any issues that will delay the timely release of records
Answers requestor inquiries about a request in an informative, respectful, efficient manner
Stores all records and files properly and securely before leaving work area.
Ensures adequate office supplies available to carry out tasks as soon as they arise
Is available and knowledgeable to take on additional healthcare facilities or request types to assist during backlogs
Understands that healthcare facility assignments (on-site and/or remote) are subject to change
Carries out responsibilities in accordance with VRC and healthcare facility policies and procedures as well as HIPAA, state/federal regulations, and labor regulations
Maintains confidentiality, security, and standards of ethics with all information
Works with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner
Alerts supervisor to any connectivity problems, malfunctions of software or computer/office equipment, or security risks in work environment
Must adhere to all VRC policies and procedures.
Completes required training within the allotted timeframe
Creating invoices and billing materials to send to our clients
Ensuing that client information details are kept up to date
All other duties as assigned.

Requirements:

Minimum Knowledge, Skills, Experience Required

High School Diploma (GED) required; degree preferred
Prior experience with ROI fulfillment preferred
Demonstrated attention to detail
Demonstrated ability to prioritize, organize, and meet deadlines
Demonstrated documentation and communication skills
Demonstrated ability to maintain productivity and quality performance
Basic knowledge of medical records and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) preferred
Prior experience with EHR/EMR platforms preferred
Prior experience with Windows environment and Microsoft Office products
Displays strong interpersonal skills with team members, clients, and requestors
Must have strong computer skills and Microsoft Office skills
Prior experience with operations of equipment such as printers, computers, fax
machines, scanners, and microfilm reader/printers, etc. preferred
Must be detailed oriented, self-motivated and can stay focused on tasks for extended periods of time.
Must be able to read, write, speak, and comprehend English. Bilingual skills are desirable.

Quick Apply

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prior authorization specialist jobs in mobile, al

Release of Information Specialist Mon-Fri 8am-4:30pm

PRN Patient Experience Associate/Care Coordinator

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