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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position will be located in one clinic with the potential to expand to one other site in the West Valley. You will be working in alignme

Receive and review all correspondence daily. Follow up on assigned insurance accounts. Assist all hospital employees with any needs that arise. Our ideal candidate is an adept communicator; deadline oriented, and self motivated, with excellent follow up and customer service skills. You'll be rewarded and recognized for your performance in an environment that will challeng

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) code

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

Manage overall performance of assigned Clinic location across assigned market including cost, quality, and patient satisfaction Partner with integration teams to ensure successful practice onboarding and integration, and appropriate resource allocation Support provider recruitment efforts in the market and play a key role in the successful onboarding and integration of ne

Provides leadership to and is accountable for the performance of Clinical Quality Consultants and data abstractors Direction and guidance on network clinical quality performance and improvement Provide analytical interpretation of quality performance and support business plan development to measure and improve performance Be the subject matter expert for quality related a

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 CPT and ICD 10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstra

Distribute drugs prescribed by physicians and other health practitioners Provide information to customers about medications and their use Perform clerical duties such as filing patient records and processing insurance claims Ensure compliance with all relevant laws of the applicable State Board of Pharmacy Administration of immunizations as allowed by state boards of phar

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

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

A partner of the Optum Care network, Cardiovascular Consultants, is seeking a General Non Invasive Cardiology Physician to join our Phoenix, Glendale and Scottsdale Clinics . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm

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