Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and...

Interested in Online Medical Billing & Coding Training? My Medical Career Can Help! Rapid ONLINE Training National Accreditation Financial Aid Assistance* Career Placement Services* Medical Billing & Coding - HIGH JOB OUTLOOK RATE! The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success. Medical technology continues to evolve, opening new doors for knowledgeable and capable individuals like you. According to the U.S. Department of Labor, this industry is projected to grow 11% from 2018 to 2028 , 2x faster than the average of all occupations (bls.gov). Why My Medical Career? My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. We are aligned with numerous training schools throughout the country that offer a variety of services, including job placement assistance to those who qualify. Our network of...

Are you looking for a great opportunity to work from home? Our Fortune Five Healthcare company in Scottsdale is now hiring for Medical Insurance Verification Specialists! Work from home during Covid-19! With the rising cost of health care, making critical pharmaceuticals available to those who need them becomes more and more important. Pay: $17/hr Weekly Pay & Full Benefits Hours: Must be available to work an 8hr shift M-F between the hours of 5am & 6pm **AZ RESIDENTS ONLY APPLY** Job Description: Reps are responsible for making outbound calls Assisting patients with the process of gaining access to the drugs that they need. Will conduct prior authorizations and verify insurance. Job Requirements: Must have medical insurance verification experience Call center experience a plus Must have high speed internet and the ability to work from home Great communication skills and the ability to work in a team-focused environment...

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) The Clinical Admin Consultant RN (CAC, Clinical Coordinator) is responsible for providing expertise as a clinical interface or liaison within the company to resolve and prevent issues concerning initiation and delivery of patient care. The CAC applies their field experience, expertise and clinical nursing assessment skills to: assess new patient referrals for appropriateness of home or AIS treatment; verify physician orders for therapy; determine administration method and patient supply requirements with the pharmacy team; determine nursing care needs and source for these services; and execute all tasks with a focus on patient-specific needs. *If you are located in Pine Brook,...

Fully remote HEDIS project for an RN with HEDIS experience. Duration: January 11,2021 - May 5th, 2021 Description: Collects data for ambulatory medical record reviews and compliance with provider preventive health and chronic disease outcome improvement interventions. Prepares reports and quality improvement studies in an accurate, concise and timely fashion. Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors and provides consultation to departments to correct deficiencies. Communicates with external data sources as needed to gather data necessary to measure identified outcomes. Provides communication such as newsletter articles, member education, outreach interventions and provider education. Collects and summarizes performance data and identifies opportunities for provider improvement. Participates in site visit preparation and execution by regulatory and accreditation agencies (State agencies, CMS, AAAHC, URAC,...

When everything's connected, how we connect is everything and we'd like to connect with you too! We are looking for you to help us deliver exceptional customer service experiences as a Medical Referral/Patient Care Specialist with TTEC in Orlando, FL . About TTEC We help global brands provide a great experience to their customers, build customer loyalty, and grow their business. We were founded on one guiding principle: customer experiences that are simple, inspired, and more human deliver lasting value for everyone. Your role brings that principle to life. Life at TTEC As a global company, we're always on. When one of us is going to bed, a coworker half-way around the world has already had their coffee (or tea) and is ready to grab the baton and run with it. We work at a fast pace around here and we're not one for keeping the status quo. But just because we're busy, it doesn't mean we don't know how to have fun. We're passionate about throwing company events that bring us...

**You MUST be local to St. Louis, MO, as you will be working on-site for the first 90 days of employment.** Call Center Agent (Remote) EyeCare Partners is currently seeking a Patient Engagement Advocate (Call Center Agent) in our Patient Engagement Center (PEC) to support inbound and outbound Patient calls, email and inquiries, as well as assist our office staff. We are excited to be able to offer the POTENTIAL to work from home after the successful completion of a 90 in office training and probationary period. Prove to us you can work from home, and we are happy to set you up for success! You must live in the St. Louis metro area to be considered for this position. We re looking for people who have a positive attitude, love to be part of a growing fun team, and who believe in treating our patients as you yourself would expect to be treated. Our patients are our #1 priority each and every day, and we can t serve them without you. Our ideal candidate is a...

Are you interested in learning about healthcare professions and the latest healthcare innovations in the KC area?Become part of an organization that is dedicated to making a difference in both your career and community.Job Description Summary : Utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's health needs through communication and available resources to promote optimal, cost-effective outcomes.Candidates need to be located in the KC metro area.Job Description Completes member assessments by collecting and analyzing information across the seven domains of health and develops and implements individualized care plans with appropriate interventions in a culturally sensitive way. Uses standardized tools to complete assessments in the areas of clinical, functional, financial, support system, psychosocial and cognitive and environmental realms.Monitors effectiveness of plan of care by gathering sufficient...

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 at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? If you live in Arizona or New Mexico, you'll enjoy the flexibility to telecommute* as you take on some tough challenges Primary Responsibilities: * Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination * Identify solutions to non-standard requests and problems * Translate concepts into practice * Act as a resource for others; provide explanations and information on difficult issues * It feels great to have autonomy, and there's also a lot of...

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 at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? If you live in Arizona or New Mexico, you'll enjoy the flexibility to telecommute* as you take on some tough challenges Primary Responsibilities: * Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination * Identify solutions to non-standard requests and problems * Translate concepts into practice * Act as a resource for others; provide explanations and information on difficult issues * It feels great to have autonomy, and there's also a lot of...

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 at UnitedHealth Group, you will make sure our health services are administered efficiently and effectively. You'll assess and interpret member needs and identify solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. Ready to make an impact? If you live in Arizona or New Mexico, you'll enjoy the flexibility to telecommute* as you take on some tough challenges Primary Responsibilities: * Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination * Identify solutions to non-standard requests and problems * Translate concepts into practice * Act as a resource for others; provide explanations and information on difficult issues * It feels great to have autonomy, and there's also a lot of...

DescriptionThe Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.ResponsibilitiesThe Senior Stars Improvement, Clinical Professional's work focuses on areas of clinical emphasis. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.The Senior Stars Improvement Clinical Professional's work focuses on quality improvement programs. Influences provider group strategy. Makes decisions on moderately complex to complex issues regarding...

We're a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."OverviewThe Patient Access Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy service standards.The Patient Access Representative will facilitate all components of the patients' entrance in to any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible...

How have you impacted someone's life today? At Hackensack MeridianHealthour teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career, all within New Jersey's premier healthcare system.We have an upcoming need for a Per Diem Patient Transfer Registrar.This position is responsible for accurately enter patient data into registration record, bed management software and Transfer Center software. This will be a comination of day and evening shifts.This is a per diem role

OverviewWere a Little DifferentOur mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its Top 100 Places to Work.OverviewThe Patient Access Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy service standards.The Patient Access Representative will facilitate all components of the patients entrance in to any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be...

Job DescriptionDuPage Medical Group is the largest independent, multi-specialty physician group in the Midwest. We offer services in more than 70 specialty areas across 120+ locations. Our team is comprised of more than 750 physicians and 5,000 dynamic individuals who work collaboratively to transform healthcare for the thousands of patients we serve each day.Are you a self-motivated, organized and compassionate professional with Patient Account experience ? Do you thrive in a fast-paced, progressive work environment? If so, DuPage Medical Group wants you!Hours:Monday-Friday 8:30am-5pmWork From Home: Must meet productivity requirements, adherer to our attendance policy AND must work in the Lisle, IL office for 12 months before work from home is approved.SUMMARY:This position isresponsible for answering phone calls and questions related to patient account billing and Referrals for Boncura Health Solutions.ESSENTIAL DUTIES AND RESPONSIBILITIES:General Call Center...

Patient Account Specialist Mission: Make it Better: People, Place, and Community Permission to play values: Kindness, Respect for others, Collaborative and Reliable Position Information: Work from home Full time Monday - Friday 8:00am - 5:00pm or 9:00am - 6:00pmPart time hours available HCM is a women-owned business (WOSB) focused on driving engagement and resolutions that align with our client needs. HCM works as an extended business office within revenue cycle where we engage, identify, and present solutions to meet patient's financial situation. Further upstream in revenue cycle, we partner to solve pain-points within the claim process. Lastly, like any business, we are open to new ideas and are working to pursue new data-driven and technology focused solutions to provide value within healthcare and beyond. HCM is looking for a motivated and compassionate Patient Account Specialist, to drive great outcomes that make a difference for our client's patients. The combination of...

OverviewJob SummaryPatient Navigator is the patients program liaison. Primarily telephonic, this role is responsible for ensuring that the patient experiences a smooth transition, from an admission or outpatient procedure, back to the home setting. Throughout the duration services, this role will uncover and act on possible barriers to a healthy outcome, thereby safeguarding against unnecessary readmissions.Responsibilities Address program specific quality measures and adhere to company guidelines/standard operating procedures during the life cycle of the patient. Make all patient welcome calls on date of notification of assignment and/or discharge. Make appropriate and timely patient appointments, confirmations, and appointment reminders. Mail letters as needed. Complete telephonic inpatient visits with patients utilizing current standard operating procedures. Notify all appropriate departments (PTID) of data related patient case updates. Outreach to patients providers and input...

OverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.ResponsibilitiesPOSITION SUMMARYFacilitates internal transfers, and incoming/outgoing transfers; Ensures the transfer laws and the Hospital policies are followed properly on patients requiring emergent medical care and/or bed placement. must also have extensive knowledge of various HMO's, POS's, PPO's, commercial and governmental payers, and...

OverviewAbout UsCHE is a premier provider of behavioral health services and is the partner of choice for skilled nursing facilities, community-based adult homes, assisted-living settings, adult day care, and rehabilitation centers. CHE has been operating for over 20 years and employs over 600 clinicians in eight states of operations. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities. Backed by a leading private equity investment firm, we are looking for a hungry, talented, ambitious, engaging, innovative, and all-around awesome individual to join our team.General SummaryResponsible for receiving information from referral sources, verifying patient insurance demographic data, determination of correct billable party, accurate and timely entry into patient management system and obtaining pre-certification or authorization for services. Working knowledge of HIPAA, Federal, State and Local insurance...