Description

This position is Onsite. Our office is located at St. Bernardine Medical Center (SBMC), 2102 North Waterman Avenue San Bernardino, CA 92404.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? 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. It may be necessary, given the business need, to work occasional overtime.

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

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.

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:

• High School Diploma/GED
• Must be 18 years of age OR older
• 1+ years of customer service experience analyzing and solving customer problems
• Ability to create, edit, save, and send documents utilizing Microsoft Word and Microsoft Excel
• Ability to work full time onsite at 2102 North Waterman Avenue San Bernardino, CA 92404
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8am - 4:30pm. It may be necessary, given the business need, to work occasional overtime and weekends

Preferred Qualifications:

• Experience working within the health care Industry and with health care insurance
• Experience working with Medicare and/or Medicaid Services
• Call center experience
• Clerical or administrative support background
• Knowledge of ICD-10 and CPT codes

Soft Skills:

• Must be able to type and talk at the same time and navigate through multiple screens
• Experience working in a metric-driven work environment

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 $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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