Clinical Administrator Coordinator

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm MST including rotating holidays. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

This is high volume, customer service environment. You'll need to be efficient, productive, and thoroughly deal with our members over the phone.     

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.                             

Primary Responsibilities:

• Processing all release of information (ROI) requests, specifically medical record, and billing requests, in a timely and efficient manner
• This role must also ensure accuracy and provide clients and customers with the highest quality product and customer service
• At all times, the ROI Specialist must 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 releases of information are compliant with the request, authorization, client policy, and state and federal laws to include HIPAA regulations
• The ROI Specialist engages in direct customer service, when applicable, and must perform duties and conduct interpersonal relationships in a manner designed to project a positive image of the ROI department
• Promotes positive customer relations through prompt and courteous service. Review each request for validity according to request type and written guidelines rejects invalid requests/provides timely
• feedback to requestors regarding non-valid requests for PHI; work with requestor as needed
• Maintains knowledge of state laws, fee structures, CPS rules in conjunction with hospital policies. Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• 1+ years of experience with Release of Information (ROI) and medical record releases
• 1+ years of experience working within the health care Industry
• Ability to work Monday - Friday, between 08:00 AM to 04:30 PM PST, including potential holidays
• Must be 18 years of age OR older

Preferred Qualifications:

• Experience with healthcare terminology
• Experience with policy, and procedures within California state law, federal, and HIPAA regulations
• Experience working in a hospital, physician's office or medical clinic setting
• Clerical or administrative support background
• Experience working in a call center

Telecommuting Requirements:

• Reside within the US
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Ability to apply regulatory requirements to facilitate organizational compliance
• Ability to develop and maintain positive relationships with requestors, i.e., Insurance Companies, Physician Offices, etc. and other stakeholders
• Effective organizational skills, demonstrating attention to details and excellent customer service skills
• Able to work independently in a fast-paced environment
• Problem solving and critical thinking skills
• Competent use of email, fax machines, copiers
• Effective communication skills (verbal and written)
• Ability to perform team-oriented job tasks with a conscientious awareness of detail and accuracy; effective organizational skills; ability to multi-task effectively

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN