If you are located within the state of Arizona, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

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 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.

Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.

The Release of Information Specialist (ROI 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.

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 - 5:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at Mercy Gilbert Medical Center 3555 S Val Vista Dr Gilbert, AZ 85297.

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

Primary Responsibilities:

• 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 (or higher)
• 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
• Ability to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Associate's Degree (or higher) in Health Information Management
• Related experience within healthcare environment
• Experience working within the health care Industry
• Experience working in a hospital, physician's office or medical clinic setting
• Clerical or administrative support background
• Experience working in a call center
• Experience in Release of Information

Telecommuting Requirements:

• Reside within Arizona
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• 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 perform team-oriented job tasks with a conscientious awareness of detail and accuracy; effective organizational skills; ability to multi-task effectively

Careers with OptumInsight . Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work. SM

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.

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