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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Welcome to one of the toughest and most
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Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate
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Perform research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances Obtain agreement on potential balance payoff and/or payment terms within stated le
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Performs all duties within the scope of a Medical Assistant’s practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capillary, performs EKGs.
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Perform utilization management, utilization review for IVF population Determine medical appropriateness of outpatient services for Infertility following evaluation of medical guidelines and benefit determination Interacting with various facilities hospitals, clinics vendor services Identify solutions to non standard requests and problems Work with minimal guidance; seeks guidance on only the most
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Distribute drugs prescribed by physicians and other health practitioners. Provide information to customers about medications and their use. Strong focus on providing a superior level of customer service. Log data into the computer. Ensure compliance with all relevant laws of the applicable State Board of Pharmacy. Administration of immunizations as allowed by state boards of pharmacy. Any other
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UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Strategic Claims Capability (SCC) i
Posted Today
Performs all duties within the scope of a Medical Assistant’s practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capillary, performs EKGs.
Posted Today
Assist in opening and closing the clinic, locking and unlocking the doors and maintaining a clean waiting area Welcome all On Site Clinic patients and visitors by greeting them with a friendly demeanor, answering inquiries and directing them through the registration process Answer multi phone lines, filing, faxing, scanning documentation and completing daily patient callbacks Collect all insura
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There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsi
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Build relationship with Local Markets Work with them to develop Market and Product Strategy for capitation as well as other Provider Payer Products Strong Industry knowledge across product, health plans and financials Very strong communication written, verbal and business requirements Provides leadership to and is accountable for the performance and direction through multiple layers of management
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Utilize database systems and tools to enter and/or research provider data (e.g. NDB, PhyCon, DLI/PLMI[Designated Loading Instructions / Provider Loading Maintenance Instructions] etc.) Receive data from multiple inbound sources (e.g. PhyCon, spreadsheets, e mail, SharePoint, etc.) Research multiple databases to pull in the correct or needed information Learn and effectively use multiple platforms
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Utilize database systems and tools to enter and/or research provider data (e.g. NDB, PhyCon, DLI/PLMI[Designated Loading Instructions / Provider Loading Maintenance Instructions] etc.) Receive data from multiple inbound sources (e.g. PhyCon, spreadsheets, e mail, SharePoint, etc.) Research multiple databases to pull in the correct or needed information Learn and effectively use multiple platforms
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Support and develop staff in an effort to communicate with internal and external customers more effectively Troubleshoot issues related to internal and external customers. Provide responses to Customer Satisfaction Surveys and Contract discrepancy reports after research of these concerns. Determine appropriate outcome of provider status based on research performed Mentors/monitors the efforts for
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You're looking for something bigger for your career. How about inventing the future of health care? Optum is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Brin
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