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Updates IP hospital accounts to ensure that information is accurate and complete, i.e., spelling, demographics, correct abbreviations and punctuation. If necessary, contacts patients or family members to obtain correct information Forwards errors to Admitting Educator Maintains a program in which insurance eligibility and benefits are secured at point of service and prior to discharge Contacts the
Posted 1 day ago
Maintain up to date knowledge of specific admission, registration, and pre registration requirements for all areas, including but not limited to Main Admitting, OP Registration, Maternity, and Rehabilitation Units Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage When co
Posted 1 day ago
Communicate 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 Respond to patient and caregivers' inquiries always in a compassionate and respectful manner Obtain Benefits and Insurance verification Point of Service Cash Collection, Co P
Posted 1 day ago
Analyze and interpret the key drivers of health care trends Develop pricing methodologies, assumptions, new rates and cost estimates Determine the impact on premiums and health product proposals Perform mathematical analyses and actuarial modeling that provides management with statistical findings and conclusions Communicate results of complex actuarial analyses to various audiences Job Scope Gen
Posted 1 day ago
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 Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner Organizes and schedules patient service
Posted 1 day ago
Researches and verifies provider records for correct claims payment for both par and non par providers. Load non par providers into NDB as needed for claims processing Assists in the cleanup of the current provider information, including verifying and correcting demographical errors and adding missing information such as provider specialties Resolves provider database issues such as addresses, use
Posted 1 day ago
Communicate 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 Respond to patient and caregivers' inquiries always in a compassionate and respectful manner Obtain Benefits and Insurance verification Point of Service Cash Collection, Co P
Posted 1 day ago
Join our team of technology professionals who are deeply engaged in determining how we can change and improve health care. We encourage you to apply today. Find out how Optum's Technology Development Program can lead to your life's best work.(sm) You're about to take the next big step. You'll be at the intersection of technology and healthcare, about to create the next incredible solution. If you
Posted 1 day ago
Join our elite team of technology professionals who are deeply engaged in determining how we can change and improve health care. We encourage you to apply today. Find out how Optum's Technology Development Program can lead to your life's best work. (sm) You're about to take the next big step. You'll be at the intersection of technology and healthcare, about to create the next incredible solution.
Posted 1 day ago
Maintain up to date knowledge of specific admission, registration, and pre registration requirements for all areas, including but not limited to Main Admitting, OP Registration, Maternity, and Rehabilitation Units Verify insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage When co
Posted 1 day ago
Manage all facility based admissions for mental health and substance abuse through the continuum of care Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best practice and clinical guidelines Effectively communicate with consumers about their benefit coverage and provide appropriate resources and referrals Make benefit determin
Posted 1 day ago
Consult with and coordinate initial treatment delivery for specialty drug patients, including DURs, co pay assistance, ancillary products, scheduling Pharmacist consults and/or RN visits, refill orders and prior authorizations Discuss with patients life issues affecting medication adherence Advise patients on alternate Rx fill strategies of retail versus mail order and options for financial assist
Posted 1 day ago
As part of the OptumCare network, 4C Medical Group is seeking for a Full Time Primary Care Physician to join our team in Surprise, AZ. C Medical Group is an integrated primary and specialty care network that provides high quality medical care in acute, sub acute, ambulatory and home based care settings. Our goal as an organization is to transform healthcare nationally, while providing Physician le
Posted 1 day ago
Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Jo
Posted 1 day ago
Manage unit cost budgets, target setting, performance reporting and associated financial models Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure that networ
Posted 1 day ago
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