Oversee processing of physician adds, terms and demographic changes Review and verify provider panel status and current health plan IDs Manage and maintain current roster of primary care and specialty care physicians Support patient retention workflows during provider network changes Distribute materials, performance/patient data, and communications to physician network S

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Serves as a primary point of contact between patient and health care team to anticipate and appropriately address patient questions and concerns. Confirms patient u

Deliver high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparation for diagnostic tests or procedures Collect and document patient information, including vital signs, chief complaint, review of medications, allergies, health risk screen information, the status of extended care benefits, and oth

Responsible for the check in process for patient arrivals Responsible for Work queues and In baskets in EMR Review and collect balances, including copayments and outstanding balances Receives, sorts, and files documents where appropriate Handles incoming and outgoing phone calls and fax messages in a timely manner Follows all department procedures relating to new and esta

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

Provide exceptional service to all customers Responsible to greet patient and check patient in and out. Ensure demographics including insurance information are correct and update as necessary Answers phone, takes messages and routes calls appropriately Schedule appointments as necessary, verifying correct visit type and primary care provider Access insurance plan systems

Coordinate, supervise and accountable for the daily / weekly / monthly activities of a team of 15 to 20 Medical Collections Representatives Set priorities for the team to ensure task completion and performance goals for the team are achieved Coordinate work activities of team with other supervisors, managers, and departments Participate in the recruitment, training, and s

Prepare, process and maintain new member or group enrollments Respond to member eligibility or group questions and verify enrollment status Reconcile eligibility discrepancies, analyze transactional data and submit retroactive eligibility changes Research errors by comparing enrollment error reports against system information along with records from the Center for Medicar

Delivers high quality patient care through face to face, telephone, and electronic contact for examination, treatment, monitoring, and preparing for diagnostic tests or procedures at various sites and departments within an assigned geographic region Collects and documents patient information, including vital signs, chief complaints, reviews of medications, allergies, heal

Manages ongoing contract relationships and service delivery to clients for up to 30 accounts Acts as outward facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts Builds relationships with Provider leadership and serves as the primary point of contact for overall and day to day service delive

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and da

Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Answers phones and schedul

Provides department and client level oversight for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas which includes Demonstrating excellent customer services skills by facilitating communication between client leadership, patients, supporting teams, and payors Development, deployment, and improvement of the Optum

Clinic Locations Redlands, Highland Park, Yucaipa, Beaumont Outpatient Primary Care including office consults, annual visits, follow up appointments and in office procedures Appointment Schedule Monday Friday; 40 / 20 minutes for consults and follow up appointments Average Patients per day 20 patients Medical Assistant to support Physician; rooming patients, vitals, RX re