Applies knowledge/skills to activities that often vary from day to day Demonstrates a moderate level of knowledge and skills in own function Requires little assistance with standard and non standard requests Solves routine problems on own Works with supervisor to solve more complex problems Prioritizes and organizes own work to meet agreed upon deadlines Works with others

Greet patient when entering the practice Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service File and maintain medical records Answer telephone calls promptly and courteously Collects co pays or outstanding balances on the date of service Perform referral documentation promptly

Supervises clinical operations of a given patient care area Assists Site Administrator in ensuring compliance with licensing, certification, and competencies Evaluates nursing competencies and decisions according to current nursing practices Functions as a resource and serves as a liaison between administration, clinicians, staff, and other departments Participates in all

Resolves highly complex business problems that affect clinical processes and functional requirements Participates in the development of measurable clinical business, affordability, and quality goals Identifies and prepares recommendations for cross functional/cross CDO medical management process improvements and opportunities Leverages data from multiple sources and analy

Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (Optum Health Solutions, Behavioral Health Solutions, Complex Specialty & Kidney, OptumCare) and the business plans and their corresponding FTE counts including oversight and direction provided to the vendors Collaborate with Op

Build analytics tools that utilize data to provide actionable insights into customer acquisition, operational efficiency, and other key business performance metrics Build, maintain, and production support of analytics tools in Power BI Design, build, and launch efficient and reliable data pipelines in Azure Data Factory and Snowflake Extract, Transform, and Load data from

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

Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p

The role of the Case Management Care Coordinator is to assist the Medical Management Team and physicians in the on going monitoring of complex patients that includes but is not limited to Identify psychosocial needs and interventions for patient's condition Proactively help prevent patient ER and acute admissions, when possible, by emphasizing prevention of exacerbations

Greet patients and conduct check in process Collect or verify demographic information, including key demographic fields Load or update insurance information as needed Verify eligibility and authorization and flag appointment accordingly Scan insurance card(s) Collect co payments and outstanding balances Post payments received in practice management system and provide syst

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa

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

Maintain and troubleshoot the automatic tablet dispensing Perform routine maintenance, repair, and replacement of components Calibrate and validate the accuracy of the pill counter Ensure cleanliness and proper functioning of the equipment Adhere to company, state, and federal guidelines for licensing and training Lift objects weight up to 50 lbs. when required Stand up t

Applies knowledge and skills to a range of moderately complex activities Demonstrates knowledge and expertise and skills in own function and processing of authorizations and tasks Acts as a technical resource for others to process work Proactively identifies solutions to non standard questions and requests Solves moderately complex problems independently Works with team t

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from members as well as research and resolve formulary and benefit issues using the appropriate reference material Process member prior authorization requests through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as nec