Utilization Clerk

Inland Respite, Inc.; Corona (CA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Dental insurance

Vision insurance

Paid time off

401(k) with employer match

Mileage reimbursement

Training & development

Career growth opportunities

Supportive team environment

Job summary

Inland Respite, Inc. in Corona, CA is seeking a Utilization Clerk (Bilingual - Spanish Required) for a full-time hybrid role.

You will monitor EVV activity, assist families and Respite Care Providers with the Family Room and WellSky platforms, and ensure data integrity and compliance with HIPAA. Responsibilities include generating utilization reports, supporting front desk operations, and helping develop policies to improve workflows.

Qualifications

• High school diploma or GED required; associate degree or college coursework preferred.
• 1+ year administrative, scheduling, or data-entry experience, preferably in healthcare or human services.
• Comfortable handling sensitive information in compliance with HIPAA.
• Strong attention to detail, accuracy, and accountability.
• Proficient with Microsoft Office, cloud systems, and EHR platforms.
• Excellent verbal and written communication skills.
• Bilingual in English and Spanish (required).
• Valid driver's license, auto insurance, and reliable transportation.

Responsibilities

• Troubleshoot software and technical issues related to EVV systems.
• Provide feedback to leadership on technology upgrades and vendor changes.
• Monitor daily and weekly EVV compliance for clients and providers.
• Generate reports on utilization trends; identify and follow up on issues.
• Collect signatures to maintain EVV documentation compliance.
• Train and support families and Respite Care Providers in system use.
• Assist users with navigating the Family Room portal and WellSky platform.
• Process shifts adjustments, clock-in/out corrections, and schedule edits.
• Support front desk operations as needed.
• Collaborate with Care Advocacy on utilization concerns.
• Help develop policies and improve workflows to ensure compliance.

Skills

Bilingual: English, Spanish

Microsoft Office

EHR platforms

HIPAA compliance

Attention to detail

Data entry

Verbal and written communication

Time management

Education

High school diploma or GED

Associate degree or coursework preferred

Tools

Family Room portal

WellSky platform

Cloud systems

Job description

Now Hiring: Utilization Clerk (Bilingual - Spanish Required)
Now Hiring: Utilization Clerk (Bilingual - Spanish Required)
Location: Corona, California
Schedule: Full-Time /Hybrid | Monday-Friday, 8 AM - 5 PM
Travel: Occasional local travel for home visits and meetings
Department: Care Coordination
Our Mission
At Inland Respite, we provide high-quality, compassionate respite care to families of individuals with developmental disabilities. Our People Operations team plays a vital role in supporting employees and ensuring operational excellence across our growing organization.
Position Summary
The Utilization Clerk plays a critical role in maintaining the accuracy and compliance of Electronic Visit Verification (EVV) records. You will monitor EVV activity, assist families and Respite Care Providers with system use, provide technical support, and ensure data integrity according to state and organizational standards. This role also supports daily operations through reporting, follow-up, and occasional front desk coverage.
Key Responsibilities

• Troubleshoot software and technical issues related to EVV systems
• Provide feedback to leadership on technology upgrades and vendor changes
• Monitor daily and weekly EVV compliance for clients and providers
• Generate reports on utilization trends; identify and follow up on issues
• Collect signatures to maintain EVV documentation compliance
• Train and support families and Respite Care Providers in system use
• Assist users with navigating the Family Room portal and WellSky platform
• Process shifts adjustments, clock-in/out corrections, and schedule edits
• Support front desk operations as needed
• Collaborate with Care Advocacy on utilization concerns
• Help develop policies and improve workflows to ensure compliance
  

Required Qualifications

• High school diploma or GED required; associate degree or college coursework preferred
• 1+ year administrative, scheduling, or data-entry experience, preferably in healthcare or human services
• Comfortable handling sensitive information in compliance with HIPAA
• Strong attention to detail, accuracy, and accountability
• Proficient with Microsoft Office, cloud systems, and EHR platforms
• Excellent verbal and written communication skills
• Strong organizational and time management skills
• Bilingual in English and Spanish (required)
• Valid driver's license, auto insurance, and reliable transportation
  

Work Environment & Physical Requirements

• Office setting with some indoor/outdoor work
• Prolonged sitting and computer use
• Occasional lifting up to 25 lbs.
• Physical activities include walking, bending, and driving
• Ability to travel locally and occasionally by plane, train, or car
  

SCHEDULING & AVAILABILITY
Standard hours: Monday-Friday, 8:00 AM - 5:00 PM with a one-hour lunch.
Occasional extended hours based on workload and business needs.
This position is primarily office-based.
Hybrid work opportunities may be available based on business needs, operational requirements, job performance, and management approval.
Work arrangements are not guaranteed and may be modified based on business needs and departmental requirements.
Benefits Of Inland Respite

• Competitive salary
• Health, dental, and vision insurance
• Paid time off (vacation, sick leave, holidays)
• 401(k) with employer match
• Mileage reimbursement
• Ongoing training and professional development
• Supportive, mission-driven team environment
• Opportunities for career growth