Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and with resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.This position is full-time (40 hours/week), 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. It may be necessary, given the business need, to work occasional overtime. Our office is located at 3555 S Val Vista Drive Gilbert, AZ 85297.We offer 2 – 3 weeks of on-the-job training. The hours of the training will be 8:00am – 4:30pm, Monday – Friday.Primary Responsibilities:
The Release of Information Specialist is responsible for 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. You also must be able to work a flexible schedule that includes evening hours.You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
Proficiency with Microsoft Office and knowledge, experience and/or training in accurate data entry, office equipment and procedures.
Ability to know, understand, and apply Release of Information standards, policy and procedures and state and federal HIPAA regulations.
Ability to read and comprehend simple, healthcare terminology.
Must be 18 years of age OR older
Ability to work 100% onsite at Mercy Gilbert Medical Center 3555 S. Val vista Drive Gilbert, AZ 85297.
Ability to work full-time, Monday - Friday between 8:00am – 4:30pm including the flexibility to work occasional overtime given the business need
Preferred Qualifications:
Experience working within the health care Industry
Experience working in a hospital, physician's office or medical clinic setting
A clerical or administrative support background
Experience working in a call center
Experience in Release of Information
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.
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.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #RED
