Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability to identify the ICD 10 CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD 10 Official

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

Verifies, re verifies and authorizes patient insurance coverage and eligibility utilizing computer based patient registration/scheduling system Verifies and updates demographic, insurance, and other patient information Confirms, collects, and posts patient co payments and other outstanding balances Addresses patient care related telephone calls via an incoming work queue

Work effectively in a structured, production environment Adhere to daily schedules and assignments Strictly adheres to established advanced protocols to handle incoming contacts including, but not limited to, prescription refill requests, lab results, x ray results, medical triage assessments, medical inquiries and referral requests Assists callers with general contacts i

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

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Answers phones and schedul

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

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Research and resolve UM inventory accordingly to meet productivity and quality standards to include Claims reports with reconciliation needs Information received through Right Fax Information received through email Or any other methods of receipt (phone calls, etc.) Coordinates initial screening for UM claim reviews through claim queue Prepares administrative files for Me

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

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

Work effectively in a structured, production environment Adhere to daily schedules and assignments Strictly adheres to established advanced protocols to handle incoming contacts including, but not limited to, prescription refill requests, lab results, x ray results, medical triage assessments, medical inquiries and referral requests Assists callers with general contacts i

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