Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

Monitor and Use Key Performance Indicators (KPIs) Gathers data for KPIs, supporting dashboards and reports Monitors operational KPIs to identify revenue cycle opportunities and address leading or lagging metrics Partners with customers to research root cause and under the guidance of senior revenue cycle business partner (RCBP) team members, identify appropriate next step

Organizes and maintains health information records. Reviews electronic chart documentation ensuring correct patient, location, and no duplicate information. Processes release of information (ROI) requests. Manages requests for documentation and information. Scans and edits documents in the electronic medical record. Locates, logs, retrieves, files, and delivers medical re

Follow established departmental policies, procedures and objectives Notify Provider Enrollment Manager of non compliance issues May involve travel to meet with providers to ensure complete and accurate forms are completed Completion of PIN form for submission to Excellian, track payer data in Symed Follow up on outstanding enrollment issues to ensure timely reimbursement

Use workforce management software and call volume history to help manage daily staffing levels and to determine the most effective methods for staffing adjustments Utilize call center tools to observe agents' actual state compared to scheduled state Manage real time inbound call traffic to help ensure that service levels are met Gain an understanding of the technical and

Work on HIM configuration changes and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy Serve as a mentor/subject matter expert to local and client

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Work independently to resolve standard and non standard requests Consult with your supervisor on complex issues and problems Collaborate with others

Organizes and maintains health information records. Reviews electronic chart documentation ensuring correct patient, location, and no duplicate information. Processes release of information (ROI) requests. Manages requests for documentation and information. Scans and edits documents in the electronic medical record. Locates, logs, retrieves, files, and delivers medical re

Strategic Planning Lead the development and execution of Optum Health's corporate strategy, including long term objectives, growth priorities, and market positioning Manage the long range planning process, including the development of multi year strategic plans, scenario analysis, and resource allocation to support Optum Health's growth objectives Oversee the annual busin

Perform financial modeling, data analysis, and business unit support related to Revenue and Sales forecasting and performance Understand business drivers and metrics to assist in identification of revenue and sales trends and opportunities to improve performance Interface with business, finance, and growth leaders to build relationships in support of real time forecasting

The Rating Technician is responsible for providing manual rates to the Sales and Underwriting teams for new business and renewals This individual will provide initial quotes to ancillary requests within allowable limits They will analyze health benefit plan characteristics and assess risks around frequency and potential severity of losses to our client base You'll be rewa

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Perform quality review of Medicare coverage determinations and cancel cases to determine the following 1) accuracy of review 2) timeliness 3) correctness of authorization placement 4) compliance errors 5) Adherence to Clinical Policies and Procedures Navigate multiple computer programs to review and document the accuracy of case reviews, report errors and remediate as dir

Provide exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to ma