Reviews open delivery tickets and prioritize billing activities Creates invoices that are accurately generated and submitted on a timely basis Discuss insurance coinsurance, copays, and deductibles with patients and educate them on their insurance coverage as needed Set up, edit, and maintain payment arrangements in advance or post treatment of patients Researching and re

Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given Obtain clinical information from providers on Applied Behavior Analysis requests for treatment Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines Manage outpatient cases througho

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

Provide supervision to department staff, works independently, and collaborates with Physician and RN leadership on relevant clinical issues Recruit and retain talented staff and ensure proper training, resource allocation and develop standards to monitor and evaluate staff performance Implement and maintain clinical and business policies and procedures Ensures customer sa

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

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

Provide exceptional service to all customers Responsible to greet patient and check patient in and out. Ensure demographics including insurance information are correct and update as necessary Collect appropriate co pays and adhere to all cash handling policies Schedule appointments as necessary, verifying correct visit type and primary care provider Responsible for waitin

Packaging patient deliveries for shipments via FedEx and Courier Stocking medications and supplies Packaging and pulling medications and supplies Assisting with inventory/purchasing tasks Willingness to learn aseptic technique, compounding practices, and cleanroom sterility This role is equally challenging and rewarding. You'll need to work within multiple computer system

Answers a minimum of 10 calls from patients, resolving moderate to complex issues. Schedule and verify appointments in clinical information system. Verify and update patient demographic and insurance information. Send and receive tasks to Provider offices to assist patient with access to medical care. Receive and process; expedite stat and at risk referrals. Contact patie

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

Verify prescriptions and prescription data entered into the pharmacy computer system for accuracy Oversees the activities of pharmacy technicians and inventory personnel Organizes workload, sets priorities, completes assignments in a timely manner and utilizes resources appropriately while complying with department program standards Work in the fulfillment area to provide

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes Abstract additional data elements during the Chart Review proc

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

At OptumCare, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at OptumCare is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of othe