Coordinates the resolution of unpaid accounts. Receives and resolves calls from patients, insurance companies, attorneys, and departments. Obtains and processes payments. Collaborates with patients to create payment arrangements. Updates incomplete and missing account information. Documents collection activities. Other duties as assigned. You'll be rewarded and recognized

Coordinates the resolution of unpaid accounts. Receives and resolves calls from patients, insurance companies, attorneys, and departments. Obtains and processes payments. Collaborates with patients to create payment arrangements. Updates incomplete and missing account information. Documents collection activities. Other duties as assigned. You'll be rewarded and recognized

Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies Educate customers regarding the availability of receiving invoices and remitting payments through online applications Resolved concerns related to patient balances on their accounts. Handles inbound calls. Routes accounts for review and resolution

Provide realistic cost and resource estimates for algorithms programming Conduct data extraction that may include analyzing, reviewing, trending and presenting information, based on provided specs, to support or refute hypotheses leading to the initial identification of heath care fraud & abuse Able to interpret and create requirements, functional specifications and techn

Develop and implement AI and machine learning strategies to drive healthcare solutions. Design plan and prioritize experimentation of machine learning and deep learning models Process and transform source data to be used in machine learning pipelines, leveraging distributed computing environments and parallel processing approaches. Build robust machine learning pipelines

Assists in documenting standard operating procedures and business rules for the department Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information Is responsible for supporting staff that work remotely Manage in coming documentation and ensure it is routed to the co

Complete provider orders per state and provider regulations Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete occupational health testing including such services as urine drug screens, breath alcohol testing, hair testi

Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read and report results to providers Retrieve and archive radiographic reports; create/burn CDs in compliance with HIPAA regulations Perform detailed and accurate data collection during clinical intake of

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Understand the Medicare Ambulatory Payment Classification (APC) codes Abstra

Analysis and documentation Identifies and defines business requirements Constructs workflow charts and diagrams Validates resource requirements and develops basic cost estimate models Manages complex requirement conflicts, and assists associate and intermediate level Business Analysts with moderately complex to complex requirement conflicts Implements, modifies, tests, an

Perform complex financial modeling, data analysis, and business planning in support of the Home Delivery Pharmacy's (HDP) forecast, budget, and long range plan Collaborate with key business partners across the organization to support forecast assumptions, share insights and scenario sensitivities Delivers weekly projections and variance analytics on business performance w

Lead and coordinate client communications. Focusing on providing clear and effective solutions to technical questions, while ensuring customer satisfaction Liaise with our internal stakeholders (senior leadership, legal, privacy teams, technical product teams, sales teams) to help obtain appropriate approvals and drive critical decision making Execute creative problem sol

Resolves highly complex business problems that affect clinical processes and functional requirements Participates in the development of measurable clinical business, affordability, and quality goals Identifies and prepares recommendations for cross functional/cross CDO medical management process improvements and opportunities Leverages data from multiple sources and analy

Create/Own Demand forecasts using statistical models and probabilities to achieve financial and service objectives for multiple lines of business (Optum Health Solutions, Behavioral Health Solutions, Complex Specialty & Kidney, OptumCare) and the business plans and their corresponding FTE counts including oversight and direction provided to the vendors Collaborate with Op

Build analytics tools that utilize data to provide actionable insights into customer acquisition, operational efficiency, and other key business performance metrics Build, maintain, and production support of analytics tools in Power BI Design, build, and launch efficient and reliable data pipelines in Azure Data Factory and Snowflake Extract, Transform, and Load data from