Coordinate and supervise daily / weekly / monthly activities of a team members Set priorities for the team to ensure task completion and performance goals are met Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined processes, expertise, and judgment Provide coaching, feedback, and annual pe

Perform complex analysis primarily in SQL to support operational reporting Design and deliver reports to internal and external stakeholders, ensuring they are accurate and timely, follow best practice guidelines for data visualization and provide relevant insights with key metrics Collaborate with stakeholders to document and deliver ad hoc data needs as well as special p

Life Changing Work Want to make a real difference in the lives you touch? LOOK NO FURTHER. Optum provides management services to multiple long respected physician groups in Southern California. We are passionate about patients. We are leading the state of California toward better healthcare practices. And we are looking for amazing doctors like you. As part of our continu

Leads a team of Resolution Specialists responsible for providing high quality client focused services by using knowledge of local, state and federal program requirements to efficiently maintain and update general applicant information to support client applications. Responsible for ensuring the quality and quantity of claims taken and ensures that claims are submitted / r

End to end business process activities creating, controlling and improving business processes Leads a collaborative group of functional leads to document and analyze business processes and make recommendations on how to improve performance and close gaps throughout the enterprise Oversees and manages the operational aspects of assigned projects and maintains a project man

Takes lead role in directing disposition of patients and utilization considerations Assumes leadership role to facilitate interdisciplinary collaboration Effectively problem solves and actively pursues resolution Directly communicates with staff, physicians, patients, and families Role models leadership behavior through courtesy, respect, and efficiency Coordinates patien

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 Work independently to resolve standard and non standard requests Consult with your supervisor on complex issues and problems Collaborate with others

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Provide exceptional service to all customers Responsible to greet patient and check patient in and out. Ensure demographics including insurance information are correct and update as necessary Answers phone, takes messages and routes calls appropriately Schedule appointments as necessary, verifying correct visit type and primary care provider Access insurance plan systems

Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Epic Beacon and EpicCare Ambulatory , or outpatient clinical applications Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements Lead small to medium complexity

Ensures excellent customer service when assisting patients, providers, and other departments Collects and updates patient demographic and insurance information, making changes as necessary to ensure accuracy with insurance benefits, referrals, and authorizations Verifies precertification/authorizations for scheduled services utilizing internet sites, payer contacts, and s

Coordinate, supervise and accountable for the daily / weekly / monthly activities of a team of 15 to 20 Medical Collections Representatives Set priorities for the team to ensure task completion and performance goals for the team are achieved Coordinate work activities of team with other supervisors, managers, and departments Participate in the recruitment, training, and s

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join our Portland clinic in Portland, TX. Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people ach

Available on provided telephonic platform, both taking and placing calls to coordinate care for members between facilities, hospitals, and Optum field colleagues Utilize EMR proficiently to provide acute care to members during overnight and weekend/ holiday hours Primary Care Delivery Deliver cost effective, quality care to assigned members Manage both medical and behavio

Provide revenue cycle management services in all areas of revenue cycle patient access operations which may include Patient access (scheduling, pre registration, insurance verification, financial counseling) Registration/Admission (ED, inpatient, outpatient, ambulatory) Patient financial services (pre billing, billing, follow up, account resolution) Decision support and a