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Lead ROI Medical Records Specialist - Remote

Sharecare · Remote

📍 Remotevia workday
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Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com . Job Summary: This position   is responsible   for   processing all release of information (ROI) requests in   a timely ,   efficient   and   accurate   manner   while delivering exceptional customer service.   The Associate must   safeguard patient privacy at all times   by ensuring that only authorized individuals access medical records, and that all information is released   in accordance with   the request, applicable authorization, company policies, and HIPAA regulations.   This role also provides support to team members and management by serving as a subject matter expert, trainer, and escalation point. The Lead plays a key role in ensuring high-quality output and operational consistency by mentoring colleagues,   assisting   with work assignments, and monitoring quality and productivity metrics.    Essential Job Functions :   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.   Maintains a clean, professional appearance and   complies with   the company dress code.   Maintains   up-to-date   knowledge of   applicable   state laws and fee structures.   Works within assigned scope and   is   flexible in accepting   additional   assignments or   account   coverage during backlogs.   Complies with   client site policies and procedures, including HIPAA, state and federal regulations, and labor laws.   Handles confidential information with integrity and professionalism while ensuring efficient,   accurate   record release.   Provides onboarding and training for new employees.   Supports customer service by managing escalations and resolving issues.   Communicate   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.   Qualifications :   High   school diploma or GED   required   Minimum of 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   assist   with   onboarding and training of new employees   Ability to   monitor   production,   utilization , and quality of employees   Ability to   assist   with adhering to customer SLAs including, turnaround time (TAT)   Physical Requirements :   Ability to sit or stand for extended periods   Physical capacity   to lift and carry up to 25   lbs   Manual dexterity   is sufficient   for   long periods   of   typing, writing, and handling documents   Visual acuity   to read documents   and   use a   computer   monitor   Clear speaking and hearing ability for communication   Adequate   Hand-eye coordination and sensory   abilities for jo b -related tasks   Information Governance Accountabilities :   Understand the organization's information governance program and the role’s responsibilities   Participate in required education and compliance training   HIPAA / Compliance :   Maintain the confidentiality of patient and client information    Comply with   HIPAA standards and all relevant corporate integrity and security obligations    Report any u nethical, fraudulent, or   illegal behavior   Maintain current HIPAA certification annually   Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

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