Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance Meet department standards to adherence metric Adherence metric is evaluated daily Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with e

Partner with WellMed/USMD physicians to assist patients in completing health screens and preventive care measures that are not yet completed. Outreach to external physician offices to obtain copies of consult notes and reports for patients who had preventive healthcare screens and clinical measures completed at outside facilities. Successfully update preventive health scr

Serve as a resource or Subject Matter Expert for team members or internal customers Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Help guide and educate customers about the fundamentals and benefits of consumer

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include 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 daily deposits according to company policies Processes wa

Monitors and fosters ongoing communications with government agencies regarding the status of claims. Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e., work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health ins

Complete provider orders per state and provider regulations 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 over read results to providers Retrieve and archive radiographic reports Create/Burn CD's in compliance with HIPAA regulations

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/asthma and diabetes and ensures clinical guidelines are being followed Contacts and performs initial interviews with patients who are in need of health coaching programs Conducts Chronic Care Model visits and reviews the patient's informal and formal support systems, f

Manages Quality Coordinators, Clinical Quality Consultants (CQC) I, II and Senior CQC and is responsible for the overall success of the market's HEDIS/Star results for contracted physicians Responsible for all aspects of staff development to include hiring, training, coaching and development Maximizes staff performance and technical expertise through clearly defined objec

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete preauthorization's and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company

Evaluates customer interactions in accordance with monitoring program guidelines. Conducts audits, identify trends, and provides feedback to reduce errors and improve processes and performance. Participates in weekly calibration sessions to ensure inter rater reliability. Presents quality program to new hire training classes. You'll be rewarded and recognized for your per

Pulls and scores monitored calls for staff in the department in accordance with monitoring program guidelines. Evaluates customer interactions in accordance with monitoring program guidelines. Conducts audits, identifies trends and provides feedback to reduce errors and improve processes and performance. Participates in and leads weekly calibration sessions to ensure inte

Applies knowledge/skills to basic, repeated activities Demonstrates minimum depth of knowledge and skills in own function Responds to standard requests Requires assistance in responding to non standard requests Solves routine problems by following established procedures Others prioritize and set deadlines for employee Reviews accounts including Explanation of Benefits (EO

A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join one of our clinics in the Elam Area in Dallas, TX . At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil