Data entry of billing mnemonics and all required billing information that appears on imaged requisitions (such as US postal address, medical codes, insurance carrier details etc.) Follow procedural guidelines to enter information in the systems and answer patient inquiries Navigate multiple computer applications (MS word, MS Excel, Online applications, Mainframe applicati

Examine patients and their medical records Order and study diagnostic tests (blood tests, X rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family member

Lead and accountable for a team Pharmacy Technicians, Team Leads and Clerks to process Specialty prescription orders through Fulfillment and Inventory Operations (15 20 employees) Completes Pharmacy operational requirements by scheduling and assigning employees; following up on work results Leads Pharmacy staff by recruiting, selecting, orienting, and training employees P

for our Front Office Assistants include Assist in opening and closing the clinic, locking and unlocking the doors, and maintaining a clean waiting area Welcome all clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process Answer multi phone lines, complete daily patient callbacks, and fi

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

Provide phone and chat support to address the needs of members or providers, taking care to thoroughly understand the type of assistance required Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Research complex issues across multiple databases and work with support resources

This includes communicating vision, values, culture, strategy, objectives and goals. The manager and the team then have to translate the purpose into the specific tasks of the team, so everyone know where everything fits Creating high performing teams Creating and fostering high performing teams is essential. An effective team has task clarity and right assembly of talent

Rapidly formulate a differential diagnosis from assessments conducted within the clinic setting Develop and implement treatment plans for patients assigned within the primary care team Develop and actualize plans for the primary care team as assigned Provide guidance to nursing personnel towards treatment plans and care issues Document treatment plans in the medical recor

External partnership engagement and relationship management Provide account leadership by serving as executive business lead and escalation point for all external operational stakeholders Manage the model for engaging Optum Health East contracted participants in value based programs to achieve performance goals Collaborate with external partners to understand barriers to

Reviews referrals and communicates with the physician offices when additional information is needed or assists the office in re directing care to an appropriate provider or facility Maintains a complete understanding of each health plan contract's referral/authorization requirements and guidelines Identifies problems or complex cases and refers them directly to the Medica

Conduct a high volume of outbound calls to members to discuss reasons for non compliant to medication(s), schedule pharmacy telephonic appointments, and/or obtain important follow up information from providers. Outbound calls are made primarily using an auto dialer requiring precision to detail and adaptability to type of response needed May answer inbound calls from memb

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, 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 Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner Organizes and

Provide Epic product function, design, build, and testing expertise and experience for Epic modules related to Epic Patient Access/Decision Trees applications including Prelude and Cadence Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Work closely with Patient Access use

Must conduct home visits at least once per month, required visits in the office, schools, and other facilities as necessary to ensure Home and Community Based client care Assist with support groups, as assigned, if necessary Keeps all required documentation current 90 day reviews and Treatment Plans, as well as any other documentation requirements If client has a guardian