[Hiring] Clinical Administrator Coordinator @UnitedHealth Group

Role Description

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.

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

Primary Responsibilities:

• Processing all release of information (ROI) requests, specifically medical record, and billing requests, in a timely and efficient manner.
• Ensuring accuracy and providing clients and customers with the highest quality product and customer service.
• Safeguarding and protecting the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information.
• Ensuring all releases of information are compliant with the request, authorization, client policy, and state and federal laws to include HIPAA regulations.
• Engaging in direct customer service, when applicable, and conducting interpersonal relationships to project a positive image of the ROI department.
• Promoting positive customer relations through prompt and courteous service.
• Reviewing each request for validity according to request type and written guidelines; rejecting invalid requests and providing timely feedback to requestors.
• Maintaining knowledge of state laws, fee structures, CPS rules in conjunction with hospital policies.
• Performing other duties as assigned.

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

Requirements

• 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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

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.