Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete preauthorization's 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

Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and quality monitoring including health plan/WellMed form submission and chart collection activities that close gaps in care. Partner with the leadership team, the practice administrative or clinical staff to ident

Validates authorization for all procedure / bedded patients UM pre admission Ensuring acquisition of pre certification authorization, urgent/emergent authorizations, continued stay authorizations, and authorizations for post acute services from third party payers Obtains commercial payer authorization within the contractual timeframe at time of presentation, every third d

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join our WellMed at Seguin clinic in San Antonio, TX . Position Highlights Quality vs. quantity – typically see 14 to 16 patients per day (30 min per visit) Instead of RVU or volume metrics, our providers are measured and rewarded on quality of care

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

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

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

Perform remote and onsite hospital bill charge audits as assigned while meeting department quality expectations Manage case inventory to ensure timely scheduling of remote and onsite audits while maintaining weekly productivity goals Ability to assess case details and provide input into audit potential of facilities & cases Effectively interact and communicate with teamma

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. Positions in this

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Acute Interventional Radiology services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) code

Ability to navigate through an electronic health record, release of information module to accurately select the necessary documentation for release. For e consults will gather information from Epic in PDF format according to provider order and process guidelines. Gather additional supporting records to attach to e Consult request ie. X ray and cardiology images. Respond t

Collect, verify and prep documents for the scanning process per department procedure Scan, verify and uploading of documents into electronic health record Perform clerical duties such as maintaining retrieving or scanning of all records, files and documents of importance Confirm commitment of all documents to the electronic health records Answer phone and assist caller or

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. The

Urgent Care Physician Eugene, OR As a part of Optum, the largest network of medical groups in the country, Oregon Medical Group is growing our Walk in Clinic. We are looking for an experienced Urgent Care provider to expand our team. Our team is comprised of board certified doctors and physician assistants. Our supportive and collegial urgent care team specialize in same

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m