Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting. Obtains referral, authorization and pre certification information and documents this information in system. Identifies outstanding

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary 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 accounts Understand the Medicare Ambulatory Payment

At OptumCare, we share what might be seen as a surprisingly simple goal making the health system work better for everyone. We look for people who relentlessly push themselves to go farther. For these high performers, a position on a team at OptumCare is a natural fit. We offer more than the talent, resources and can do culture we offer a place to improve the lives of othe

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

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 Abstract additional data elements during the Chart Review process when c

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary 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 accounts Understand the Medicare Ambulatory Payment

Examines, diagnoses and treats patients for acute injuries, infections, and illnesses Counsels and educates patients and families about acute and chronic conditions or concerns Documents items such as chief complaint, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment and plan Formulates diagnostic and treatment p

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

This is a hands on repair position that requires solid debugging and troubleshooting skills within Electrical, Mechanical, Pneumatic and PLCs Install, setup, troubleshoot, and maintain various mail order pharmacy equipment and prototyping/testing new improvement projects Ability to troubleshoot/repair/replace faulty electrical components such as Motors, relays, switches,

$5,000 Sign On Bonus for External Candidates with the Opportunity of Relocation Assistance! POSTION IS LOCATED IN MESA, AZ AT THE NATIONS LARGEST PHARMACY FULFILLMENT CENTER. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecti

$20,000 Sign on Bonus or $40,000 Student Loan Repayment