Note: The job is a remote job and is open to candidates in USA. UnitedHealth Group is dedicated to improving health data flow and creating a connected healthcare system. They are seeking a Clinical Administrative Coordinator to process release of information requests and ensure compliance with privacy regulations while providing high-quality customer service.
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
- This is high volume, customer service environment. You'll need to be efficient, productive, and thorough dealing with our members over the phone
Skills
- High School Diploma / GED
- Must be 18 years of age OR older
- Experience with Release of Information (ROI) and medical record releases
- Experience working within the health care Industry
- Ability to work full time Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 08:00am - 04:30pm. It may be necessary, given the business need, to work occasional overtime, including rotating holidays
- Reside within Arizona
- 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
- 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, copier
- 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
- Experience with healthcare terminology
- Experience with policy, and procedures within Arizona 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
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
Company Overview