Come join our team at Optum where we believe in providing quality of life to our clinicians. We offer excellent work life balance with no call and no weekends. We are looking for a Nurse Practitioner for our team in southern Orange County. This is an excellent position to further your professional growth. Position Details Conduct assessments and annual wellness exams Sche

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each internal and external customer Serves as a subject matter expert to cross functional staff regarding clinical services regulatory and delegation requirements, and impact to operational processes Serves as a

Process incoming data to deliver to internal staff; leading extract, transform, and load processes Develop and maintain data infrastructure to streamline and improve the processing systems Use statistical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for improving performance of internal programs Create data sets,

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, c

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

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 Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements

Supporting and assisting physicians with clinical care and task queue/inbox coverage at our group owned site Duties including but not limited to Rx refills, lab and radiology result verification, primary care clinical management (preventative, chronic and acute disease management, post discharge hospital and skilled nursing visits), referrals to specialists as needed Sche

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 clarificatio

Directs patient to proper exam/treatment area and prepares patient for examinations and other procedures. Assists in the transportation of patients and patient flow Obtains records and reports vital signs and any other pertinent patient information to the RN or clinician Administers medication, performs various patient tests and instructs patients on procedural preparatio

Fully Remote | Flexible Scheduling

Greets patients as they arrive Coordinates patient flow Assists patient with intake or admitting processes including copying required documents Collects co payments, co insurance and deductibles and issues receipts Collects, records and balances payments Processes walk in patients and visitors Answers phones and schedules appointments Manages medical records (maintains, f

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

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 Collect appropriate co pays and adhere to all cash handling policies Answers phone, takes messages and routes calls appropriately Schedule appointments as necessary, verifying correc

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 Collect appropriate co pays and adhere to all cash handling policies Answers phone, takes messages and routes calls appropriately Schedule appointments as necessary, verifying correc

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