As a part of OptumCare, Reliant Medical Group is seeking an APC to join our APC Collaborative Teaching Pod within our Internal Medicine Department in Southborough, Massachusetts . Qualified candidates will be a new graduate or have one year experience or less, working in primary care. At the time of application, candidates must submit a letter of intent, outlining their i

Assist with the qualitative analysis of documentation and deficiency analysis within the medical records to ensure compliance with regulatory agencies and facility. Monitor delinquent record and provide potential suspension notifications to clinicians. Analyze records for completeness. Note missing elements and verify / enter deficiencies into Epic system. Assist provider

Provide scientific leadership and project management on multiple outcomes research and health economic studies simultaneously Stay abreast of and implement cutting edge techniques in outcomes research methodology Lead research teams and manage study budgets and timelines Design research studies Conduct or oversee study analyses Interpret and communicate research findings

Assess the training and organizational development needs within a function (e.g. claims) Participate in the development of training programs and classroom materials Provide leadership within the classroom or virtual classroom environment Report training metrics and generate training related reports Keeping pace with our instructional needs will be the biggest challenge fo

Provide day to day administrative support with proven attention to detail and sound judgement in a timely manner consistent with the highest level of performance and professionalism Effectively communicate with C suite executives, their executive assistants and colleagues while building effective relationships and operating as a team player Management of the CEO's calenda

First point of contact for our patients. Sets the tone for a positive experience Exhibits empathy, courtesy, competence, efficiency and care Schedules appointments and procedures, following standard guidelines Uses Multiple computer and phone systems to fulfill patient needs over phone Verifies patient information, while documenting in their Electronic Health Record (EPIC

Gathering business requirements for the data warehouse as well as business intelligence reports used by the Virginia DMAS management Analyzing existing design and recommending industry best practice design for optimal performance and maintenance Applying Full Software Development Life Cycle (SDLC) experience, including Analysis, Design and Review of Business and Software

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents File and maintain medical records Confirms and schedule appointments Follow the Cash Security policy and procedures according to Optum Medical guidelines Perform referral docume

Gathering business requirements for the data warehouse as well as business intelligence reports used by the Virginia DMAS management Analyzing existing design and recommending industry best practice design for optimal performance and maintenance Applying Full Software Development Life Cycle (SDLC) experience, including Analysis, Design and Review of Business and Software

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

This is a part time position approximately 24 hours weekly; 3 days a week 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 Process any required paperwork according to established procedures Shred paperwork for di

Provides nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices Coordinates with other members of the care team to ensure seamless care delivery, maximal coordination of efforts, and active patient participation in planning and care Assists physician or other provider with clinical procedures and part

Ensures excellent customer service when assisting patients, providers, and other departments over the phone or in person Collects and verifies patient demographic and insurance information, making changes as necessary to ensure accuracy within each encounter Engages other departments to assist with patient questions or needs Facilitates conversations with patients to prov

Evaluates customer interactions in accordance with monitoring program guidelines. Conducts audits, identify trends, and provides feedback to reduce errors and improve processes and performance. Participates in weekly calibration sessions to ensure inter rater reliability. Presents quality program to new hire training classes. You'll be rewarded and recognized for your per

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