Release of Information Specialist

Posted Yesterday
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Los Angeles, CA, USA
In-Office
18-32 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Processes high-volume medical record and billing information requests while ensuring accuracy, timely service, patient privacy, HIPAA compliance, and adherence to state and federal laws. Reviews request validity, rejects unauthorized requests, communicates with requestors, maintains knowledge of healthcare policies and fee structures, and provides courteous customer service in an onsite, metric-driven environment.
Summary Generated by Built In
Requisition Number: 2383060
This position is Onsite. Our office is located at Dignity Health - California Hospital Medical Center, 1401 S Grand Ave, Los Angeles, CA, 90015
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.
As part of the UnitedHealth Group family of businesses, we're a dynamic new partnership formed by Dignity Health and Optum. We'll count on your professionalism, expertise, and dedication help ensure that our patients receive the quality of care they need. So, if you're looking for a place to use your passion, your ideas and your desire to drive change, this is the opportunity for you.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm PST. It may be necessary, given the business need, to work occasional overtime.
This will be paid on-the-job training and the hours during training will be aligned with your schedule during normal business hours.
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 Dignity Health - California Hospital Medical Center, 1401 S Grand Ave, Los Angeles, CA, 90015
  • Ability to work any of our shift schedules during our normal business hours of 8:00 am - 4:30 pm PST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:
  • Experience with working within the health care industry and with health care insurance
  • Call center experience
  • Clerical OR administrative support background
  • Acute facility

Soft Skills:
  • Must be able to type and talk at the same time and navigate through multiple screens
  • Experience with 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 $18 - $32 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.
#RPO #RED

Skills Required

  • High School Diploma or GED
  • At least 1 year of customer service experience analyzing and solving customer problems
  • At least 18 years of age
  • Ability to create, edit, save, and send documents using Microsoft Word and Microsoft Excel
  • Ability to work full-time onsite at Dignity Health California Hospital Medical Center in Los Angeles, California
  • Ability to work Monday through Friday during scheduled business hours, including occasional overtime as needed
  • Ability to type and talk simultaneously while navigating multiple screens
  • Experience working in a metric-driven environment
  • Healthcare industry and healthcare insurance experience
  • Call center experience
  • Clerical or administrative support background
  • Acute facility experience

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Parental & Family Support Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
  • Retirement Support A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
  • Equity Value & Accessibility An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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