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Performs all duties within the scope of a Certified Medical Assistant (procedures, injections, diagnostic testing, phlebotomy) Coordinates healthcare screening results as directed by providers, company standards, and policies Travels with the mobile team to clinics and centralized locations to conduct screening clinics to support contracted physician network Rooms patient
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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. Generates and tracks patient encounter forms. Reviews patient encounte
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Maintain an ongoing knowledge of clients' business; as well as their contract with Optum Provide leadership for new client projects / implementations Provide regular communication to management on client concerns and feedback Communicate with clients via face to face meetings, conference calls and written correspondence Interfaces with internal Optum departments Assist in
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Responsible for greeting and welcoming patients in person. Provides a standard registration process by collecting demographic and financial data and enter information into an electronic medical record. Primary Responsibilities Greets and welcomes patient in person Collects demographic and insurance information Checks in and interviews patient to complete appropriate paper
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Planning and Coordination of Patient Care Assesses the health status of the patient in order to develop an individualized plan of care by collecting, categorizing and interpreting data (physical and psychosocial) from documented information, observation, patient/family interview and other health care team members Develops a nursing care plan based on the assessment of the
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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
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Builds a strong working partnership with the SAE to ensure customer satisfaction and retention Understand and execute the client contract according to the terms and conditions, including but not limited to the monitoring and reporting of performance guarantees Serve as the primary OptumRx contact for tactical, day to day management of assigned client processes. Represents
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Data entry of authorization requests from Providers, including but not limited to Treatment Authorizations Requests, Out of Network invoices, Retroactive Requests, Outpatient Authorization Requests, Day Service Requests, Therapeutic Behavioral Services, Intensive Home Based Services, Therapeutic Foster Care Requests, Treatment Plans, Claims Assessments, Inpatient and Outp
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Answers phones and schedules appointments Answer telephone calls, re direct calls as appropriate, assist callers with questions or concerns, and take messages as needed 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 req
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers,
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Provides leadership to and is accountable for the performance of managed service operations for managed service clients Develops buy in from client leadership and maintains collaborative relationships with managed service clients Creates a trusted partner relationship with client executives Develops clear and concise updates to senior leadership at the potential client si
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Determine pricing for the various products and services we offer, customized for each individual case using a variety of forecast models Leverage business knowledge to propose solutions to unique business problems regularly in a dynamic work environment Build and maintain financial models to assist in the economic analysis competitive RFP work, as well as market checks, a
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Load vehicles with medications/products for delivery Provide timely and accurate completion of deliveries in an efficient and courteous manner Verify receipt and provide signature for receipt of items delivered Assist at cash register Process any required paperwork according to established procedures Shred paperwork for disposal Assist in maintaining a clean pharmacy envi
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Consistently exhibit behavior and communication skills that demonstrate the company's commitment to superior customer service, including quality care and concern with internal and external customers Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Anticipat
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Support clinical and operational programming alongside program Directors for defined set of facilities or markets based on member volume or scope of opportunity. Works with Directors to inform and develop functional, market level and/or site strategy and new program opportunities by providing supportive diligence (e.g., background research, obtaining data, etc.) Acts as f
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