Review documentation and charges to assure proper application of coding guidelines and policies are being met Submit charges and maintain charge submission turnaround times Communicate with providers and clinic staff regarding documentation and coding issues as well as communicate with front office clinic staff regarding insurance and payment matters Assist MSO business office staff with claims

This position's primary responsibility is to provide subject matter expertise on technology posture, capabilities, and roadmap as a trusted advisor to IT, Operational, and Clinical leadership. Working in close collaboration with the CIO/VP Enterprise Architecture, the individual will drive organizational alignment to the multi year technology roadmap, support strategic and tactical initiative plan

This position's primary responsibility is to provide subject matter expertise on technology posture, capabilities, and roadmap as a trusted advisor to IT, Operational, and Clinical leadership. Working in close collaboration with the CIO/VP Enterprise Architecture, the individual will drive organizational alignment to the multi year technology roadmap, support strategic and tactical initiative plan

Ensure all solutions adhere to enterprise IT principles, standards, and healthcare industry standards and regulations Responsible for intake scoping, solution concepts and initial cost estimation; system architecture definition at the logical level Define architecture blueprint for end to end systems to including integration of applications, systems, platforms and technical infrastructure Work clo

Ability to read, interpret and comprehend insurance payment Remittance Advice/ Explanation of Benefits Review, appeal or request claim reprocessing to represent correct processing of insurance claims Contact insurance companies regarding claim processing and determining reason for payment delinquency or claim denial Contact various departments to help with corrections and submit appeals for outsta

Authorize healthcare services in compliance with contractual agreements, health plan guidelines and medical necessity criteria Maintain clinical expertise and maintain knowledge of scientific progress in nursing and medical arena and incorporate this information into the review and case management processes Maintain logs and proper documentation of cases reviewed, case management activities and

This isn't HR. This is Human Capital at UnitedHealth Group. Here, you're expected and empowered to be your best, to grow and to develop your skills. Join us and help people live healthier lives while doing your life's best work.(sm) Trainers with UnitedHealth Group have the opportunity to train talented individuals and exceptional professionals. This a great opportunity to effect the delivery of t

Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakehol

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

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) Doing the right thing is a way of life at Rocky Mountain Hea

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) Doing the right thing is a way of life at Rocky Mountain Hea

Combine two of the fastest growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Jo

The Business Development Manager is a dynamic, high performing individual with experience working with physician groups who is skilled in business development, including identifying and pursuing business opportunities and establishing positive client relationships. The person in this role is responsible for finding and developing new business opportunities and expanding the recognition of our bran

Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. RMHP is continually striving to improve the health and wellness of our Members and partners in the stat

Provide exceptional customer service to all patients and members of the clinic staff Under direct supervision of the registered pharmacist, fills prescription orders and makes them available for verification by the Pharmacist. Once verified by the pharmacist, dispenses the prescriptions. Order, receive and store incoming pharmacy supplies. Receive and process wholesaler medication orders. Verify m