Summary of Position:
The Record Retrieval Representative is responsible for ensuring the accuracy and completeness of disclosed Protected Health Information (PHI) and Personally Identifiable Information (PI). This role involves performing quality assurance (QA) on inbound medical records, verifying that patient names and dates of birth are correctly documented on each page, and ensuring that no records are mistakenly co-mingled with those of other patients. Additionally, the representative manages outbound calls and faxes to schedule and confirm medical record retrievals, adhering to client protocols, state and federal privacy laws, and regulations, as well as company policies and procedures related to HIPAA, PHI, and PI. This position can either be performed onsite or remotely, offering flexibility while maintaining a high standard of accuracy and compliance in handling sensitive medical information.
Duties & Responsibilities:
- Collect medical records according to tight deadlines
- Track and document activity completely and accurately in all systems in a timely manner
- Contact provider offices and/or facilities to request copies of medical records
- Serve as the point of contact for inquiries regarding medical record requests, while identifying and coordinating the most efficient retrieval methods with providers, such as onsite retrieval, secure electronic access, or secure web upload
- Follow all Quality Assurance policies, procedures, and job aids
- Perform QA on inbound medical records to ensure the contents match the specified patient (first and last name, date of birth, date of service, provider information, etc.). Must ensure medical records do not contain more than one patient information.
- Conduct outbound calls and faxes to schedule and confirm medical record retrievals
- Proactively communicate with management for clarification and additional work
- Actively participate in QA team meetings and discussions
- Send notifications to requestors as needed
- Communicate professionally with company personnel, Release of Information Specialists, Client Site Managers and customers
- Attend and complete required Verisma training sessions on time
- Meet company accuracy standards and performance indicators
- Perform other duties as assigned to ensure effective department and company operations
- Uphold and promote Verisma Core Values
Minimum Qualifications:
- High School Diploma or equivalent required
- Detail-oriented with strong attention to accuracy
- Proficient in Microsoft Office Suite and ability to learn new software applications
- Minimum of 2 years’ experience in a professional office environment or healthcare setting, with preference for knowledge of medical terminology
- Knowledge of HIPAA and state regulations related to the release of Protected Health Information is preferred
- Clear and concise communication skills to effectively relay information to other departments
- Ability to work independently and manage tasks efficiently
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without prior notice.
Other details
- Job Family Administration
- Job Function Value Based Care
- Pay Type Hourly
- Min Hiring Rate $17.00
- Max Hiring Rate $19.00
