Collects demographic and insurance information Documents any issues and resolutions in electronic medical record Uses resources, tools and procedures to complete registration for complex accounts Verifies eligibility and benefits information for payers and interprets results focusing on complex billing situations Obtains cost information and explains information to patien

Assist in end to end provider claims and help enhance provider experience Assist in efforts to enhance ease of use of provider portal and future services enhancements Support development and management of provider networks within assigned regions Help implement training and development of external providers through education programs in collaboration with our training tea

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

Raise the bar on excellence in execution in terms of quality, timeliness, and scalability Take accountability for key engineering metrics of the platform specifically availability, reliability, and security Develop and evolve engineering and product roadmap of UAIS Collaborate across various lines of businesses as well as global locations to ensure smooth execution of cri

Deploy machine learning models and establish automated data pipelines between cloud and on premise environments Design and implement integration and unit tests to ensure system reliability and performance Continuous integration and continuous delivery of production code Develop code and system level documentation Work with the broader technical team to scope engineering m

Read and interpret complex professional provider contracts Conduct Audits in Partnership with the Internal Teams Create reports and analyses using Facets data to validate pre and post configuration changes made by self or others Conducts Configuration Analysis (by reviewing configuration set up and identifying root cause of findings) Collaborate with Claim Ops to Validate

Lead engineering teams for conceptualizing, designing, developing, and maintaining vital elements of UAIS Platform Raise the bar on excellence in execution in terms of quality, timeliness, and scalability Take accountability for Key Engineering Metrics of the platform namely Availability, response time metrics, Time to Value and Time to build Develop and Evolve Engineerin

Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre registration of patients Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc Verify insurance eligibility and completes automated insurance eligibility verificatio

UnitedHealthcare

Provide presentations and demonstrations to customers and prospects of our products after thorough discovery incorporating value statements and benefits to Physicians, Administrators, Clinical Staff and C Level Executives Provide staffing and participation in product areas for tradeshows and product fairs Strategize with the Sales Team on a strategy to win Provide trainin

Provide administrative support in a manner consistent with the highest level of performance and professionalism while building effective relationships with other administrative assistants; operate as a team player and provide back up support as needed Maintain and update calendars; manage incoming scheduling requests, prioritize and communicate with all parties Coordinate

This position is to secure the IBMi servers and the applications to prevent unauthorized access to client data, system configurations, application function, communications between servers and applications This position will also help provide evidence for the various audits that take place such as ICFR, SOC, HITRUST and client or state required audits In addition, this pos

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex problems on own; proactively ide

Supervision of inpatient Hospital bill coding, responsible for DRG and ICD 10 PCS procedure code assignment Ensures functions performed in accordance with system wide policies, procedures, and governing organizations Defines individual and team goals Monitors staff and department performance and productivity levels and proposes ways to improve effectiveness, efficiency, a

Collaborate with executive leaders and business units to identify and understand their reporting and analytics needs, ensuring alignment with organizational goals. Manage the deployment of cloud based data solutions and business intelligence tools to enhance reporting capabilities and support data driven decision making. Design and develop efficient data pipelines, data w