Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face to face visits, emails, telephone

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

Responsible for planning and conducting onsite audit projects Document and research all allegations of potential fraud from internal and external sources Triage cases to auditors and investigators Ensure timely completion of triaged work based on client guidelines Analyzes and monitors industry publications to be aware of fraud, waste, and abuse (FWA) schemes (AICE FWA, C

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

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

Greets and prepares patients for examination, explains specific procedures to be performed Performs screening or diagnostic mammography exams using excellent positioning and exposure techniques and examines developed films for technical quality. Follows written order or self referral policy Conducts quality control tests following ACR, Manufacture Quality Control Manuals

Prepare examination rooms and sterilize medical equipment & instruments Room patients, obtain health history and check vital signs Document patient care using electronic medical record software Administer medications and perform injections/immunizations Assist providers with minor, in office procedures and perform point of care testing Schedule appointments, complete prio

Responsible for greeting and welcoming patients in person. Provides a standard registration process by collecting demographic and financial data and enter information into a electronic medical record. Primary Responsibilities Greets and welcomes patient in person Collects demographic and insurance information Checks in or interview patients to complete appropriate paperwo

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, and productivity Analyzes and identifies problem areas and adjust processes and staffing priorities Collabora

Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for members Independently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced based criteria within our documentation system

Willing to work in a very busy office Greeting and checking in patients Check patients out Collecting copays cash handling through checking insurance eligibility Entering demographics and insurance in Allscript Practice Management (APM) Complete tasks needed to help medical assistants and providers Providing superb customer service Be a team player, willing to help wherev

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing Understands and complies with long term care policies and procedures, including those that regulate nursing facilities and assisted living communities Establishes and maintains effective relationships with members and their legal representatives, faci

Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p

include Suturing Splinting Initial interpretation with digital X Rays Incisions and drainage What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family. We focus on helping patients get in, get healthy, and get back to what's really important. We are influencing change on a national scal

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