Lead or contribute to the development of Affordability and Clinical Programs or Projects, in consultation with stakeholders Develops and maintains relationships with key internal customers to identify emerging needs and business challenges Responsible and accountable for the coordinated management of multiple projects directed toward strategic business and other organizational objectives Coordinat

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm) The responsibilities of this position in

Assist providers with examinations, minor surgical procedures and physicals May be required to perform certain tasks alone as instructed. These procedures may include but are not limited to Medical Duties Injections, sterile field set up, EKG, application of dressings and splints, PFT's, mass removal, flexible sigmoidoscopy, pap smears, pulse oximetry, orthostatic blood pressures, audiograms, spir

Greetpatients as they arrive and manages 20 minute wait time Assistpatient with intake processes including copying required documents Collectco payments, co insurance and deductibles and issuereceipts Managecashier box and daily deposits according to company policies Processwalk in patients and visitors Answerphones and scheduleappointments Managemedical records (maintains, files/scans, prepares f

Assist providers with examinations, minor surgical procedures and physicals May be required to perform certain tasks alone as instructed. These procedures may include but are not limited to Medical Duties Injections, sterile field set up, EKG, application of dressings and splints, PFT's, mass removal, flexible sigmoidoscopy, pap smears, pulse oximetry, orthostatic blood pressures, audiograms, spir

Conduct in home assessments on health plan members, including past medical history, review of symptoms, physical examination, medication review and depression screening Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick and foot exam (as appropriate) Identify diagnoses to be used in care management and active medical management in the furthe

As a part of the OptumCare network, New West Physicians is looking for a Full time Hospitalist Board Certified in Family Medicine or Internal Medicine. New West Physicians, a premier multi specialty medical group in Denver with several locations in the Denver Metro area. Our goal as an organization is to transform healthcare nationally, while providing Physician led care locally. Our distinctive c

Serve as a resource for the region, network, and national operations on proper coding and documentation Provides education to employed and contracted physicians, and APCs on appropriate supporting documentation, assists in workflow development when requested, and ensures compliant documentation standards are met Recommends ongoing chart review process to ensure continued high standards in document

Serve as a key resource on complex and / or critical issues Collaborate with others to develop policies and procedures and implement solutions that ensure adherence with applicable laws and regulations Review and assess regulatory requirements applicable to business units Understanding of Pharmacy state regulatory requirements Prepare responses on all Pharmacy regulatory inquires and audits Mainta

Schedule imaging and infusion patients Preregister patients for appointments Accurate data entry of patient demographic and insurance information Customer service skills Collaborate with other teams and departments to accurately schedule patients You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to su

Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems Using knowledge of the product portfolio to accurate

Provides expert level review of inpatient clinical records within 24 48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided Conducts daily follow up communication with providers regarding existing clarifications to obtain needed docume

Create, control and improve end to end business processes Lead process design and project implementation teams in process improvement activities Create quality reporting, analysis and audits for developing plans and programs to support continuous quality improvement Assist in the creation, implementation and evaluation of Total Quality Management (TQM) programs You won't be any ordinary Business P

Receive, review, and coordinate all information required to initiate a referral for pre authorization for health care services for multiple practices Follow protocols set up by New West Physicians and contracted payors. Utilized New West Physicians Practice Guidelines as required Advise providers concerning the adequacy of the information contained in the referral. Maintain accurate documentation

Act as a resource person in collaboration with physician practices to meet organizational quality and efficiency goals Work with population health outreach, patient registries, and electronic health record to support utilization and quality performance Frequent interaction with local specialist offices or other entities to coordinate care and ensure patient follow up Directly engage patients to