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Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperwork Directs patient to their appointment or procedure May assist in scheduling add on appointments Verifies eligibility and benefits information for payers and interprets results Obtains signatures from patients as needed Colle
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Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p
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$4000 Sign on Bonus for New Hires For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Primary Responsibility The job duties include a minimum of 55 75 calls per day/275 375 per week, refilling
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Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m
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As an Advanced Practice Provider, you will 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
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Serve as a resource or Subject Matter Expert for team members or internal customers Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer
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You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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 connecting people with the care, pharmacy benefits, data and resources
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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
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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
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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
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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
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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
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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
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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
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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
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