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Payment Integrity Lead multi specialty physician teams for OrthoNet's growing family of payment integrity (Focused Claims Review) programs. Oversee tactical execution of reviews ensuring all activities are completed within contractual guidelines including quality measures, turn around times and volume metrics Oversee and develop claim guidelines continuing education and code updates, ensuring all
Posted Today
Payment Integrity Lead multi specialty physician teams for OrthoNet's growing family of payment integrity (Focused Claims Review) programs. Oversee tactical execution of reviews ensuring all activities are completed within contractual guidelines including quality measures, turn around times and volume metrics Oversee and develop claim guidelines continuing education and code updates, ensuring all
Posted Today
Payment Integrity Lead multi specialty physician teams for OrthoNet's growing family of payment integrity (Focused Claims Review) programs. Oversee tactical execution of reviews ensuring all activities are completed within contractual guidelines including quality measures, turn around times and volume metrics Oversee and develop claim guidelines continuing education and code updates, ensuring all
Posted Today
Payment Integrity Lead multi specialty physician teams for OrthoNet's growing family of payment integrity (Focused Claims Review) programs. Oversee tactical execution of reviews ensuring all activities are completed within contractual guidelines including quality measures, turn around times and volume metrics Oversee and develop claim guidelines continuing education and code updates, ensuring all
Posted Today
Payment Integrity Lead multi specialty physician teams for OrthoNet's growing family of payment integrity (Focused Claims Review) programs. Oversee tactical execution of reviews ensuring all activities are completed within contractual guidelines including quality measures, turn around times and volume metrics Oversee and develop claim guidelines continuing education and code updates, ensuring all
Posted Today
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high quality care. As part of our
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Expert knowledge of Dental, Vision and Financial Protection products (Life, Disability, Critical Illness and Accident) and the ability to communicate the importance of these coverages to build enrollment; Ability to independently resolve complex Financial Protection claims and service issues Own the service experience of customers at the field level by working with internal service teams and other
Posted Today
Healthcareisn't just changing. It's growing more complex every day. ICD 10 Codingreplaces ICD 9. Affordable Care adds new challenges and financialconstraints. Where does it all lead? Hospitals and Healthcare organizationscontinue to adapt, and we are vital part of their evolution. And that's whatfueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership formed
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Obtain patient medical records/history Perform preliminary eye function testing directly on patients Scribe for Physicians during examinations Assist Physicians with procedures Triage patient phone calls Prepare examination rooms and maintain inventory of medical supplies Conduct patient education about procedures and proper medical care Required Qualifications High school diploma or general educa
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Supervise and motivate a work team while maintaining high standards Respond to all authorization documents received and provide feedback to address processing issues Respond to provider inquiries that have been received by the escalation and case resolution department Research and verify information provided on authorization documents You'll be rewarded and recognized for your performance in an en
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Responsible for the End to End (E2E) clinical data integration architecture for the CDSM programs. This will include assisting in writing, refining and communicating design across the program. Work with and or lead other architects and delivery teams to build solutions via the Optum Big Data platform, Enterprise Service Layer, custom solutions, and software solutions Understand and ensure adherenc
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Support the care team and its patients by providing and documenting nursing care following established standards and practices Provide patient care and education and assist in locating and coordinating services from other providers and resources Serve as liaison between patients, staff and providers Document all patient interactions and other clinical activities accurately and in a timely manner i
Posted Today
Support the care team and its patients by providing and documenting nursing care following established standards and practices Provide patient care and education and assist in locating and coordinating services from other providers and resources Serve as liaison between patients, staff and providers Document all patient interactions and other clinical activities accurately and in a timely manner i
Posted Today
Support the care team and its patients by providing and documenting nursing care following established standards and practices Provide patient care and education and assist in locating and coordinating services from other providers and resources Serve as liaison between patients, staff and providers Document all patient interactions and other clinical activities accurately and in a timely manner i
Posted Today
Support the care team and its patients by providing and documenting nursing care following established standards and practices Provide patient care and education and assist in locating and coordinating services from other providers and resources Serve as liaison between patients, staff and providers Document all patient interactions and other clinical activities accurately and in a timely manner i
Posted Today
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