Applies motivational interviewing in identifying impact on member engagement and setting goals Member education, medication reconciliation and benefit management Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community Facilitate patient/family and provider communications as indicated and advocate for p

Southwest Medical (SM ) is a multi specialty group of Physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, fourteen clinical locations including nine health care centers, six urgent care clinics, four convenient care centers and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout sout

Answers a minimum of 11 calls per hour resolving moderate to complex issues Schedule and verify appointments in clinical information system Verify and update patient demographic and insurance information Send and receive tasks to Provider offices to assist patient with access to medical care Receive and process; expedite, stat and at risk referrals Contact patients to adv

Abatement Worker Work or removal of materials that have potential to create hazardous exposure. Hazardous materials include but are not limited to asbestos, lead containing materials, mold. Carpenter Perform a variety of skilled carpentry work in the construction, installation, erection, maintenance, fabrication and repair of wooden structure and fixtures (for example arc

Duties WHAT IS LBI Large Business and International THE DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International Director Treaty and Trans Pric Ops Performs assignments based on breadth or depth of research and analyses involved in examinations that include complex issues cover

Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Large Business and International, Director Withholding, Exchange, and International Individual Compliance (WEIIC), DFO FPP& AEOI and DFO EOS, EOI The following are the duties of this position at t

Prepares patient for exam, notes and documents responses to interventions and confers Provider Anticipate provider needs for patient exam or treatments, such as set up for pelvic exam, or minor procedures as well as ensuring patient disrobes as appropriate. Ensure provider is assisted with in house procedures Provides clinical intervention such as drug administration, tre

Treating and managing patients according to standard, usual, and customary methods, and techniques. Provides understanding of diagnosis, treatment, therapy, and management of patients according to current standards of care utilizing best practice recommendations. Counsels and educates patients and families. Maintains accurate, complete, concise, and timely documentation i

Payment posting, credits, working insurance and private ATBs and working denials Claims preparation and processing Medical and Pharmacy claims Meeting and achieving daily and monthly productivity Applies knowledge/skills to activities that often vary from day to day Demonstrates a moderate level of knowledge and skills in own function Requires little assistance with stand

Southwest Medical (SM ) is a multi specialty group of Physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, fourteen clinical locations including nine health care centers, six urgent care clinics, four convenient care centers and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout sout

Southwest Medical Associates (SMA), an Optum company, is Nevada's largest multi specialty practice, with over 350 physicians and advanced practice clinicians. Our facilities include 22 medical offices, with 6 urgent cares clinics, 7 Convenient Care Clinics, two lifestyle centers catering to seniors and two outpatient surgery centers. The practice is fully integrated and i

Interact with customers gathering support data to ensure invoice accuracy and work through specific billing discrepancies Must be able to process through minimum of 50 accounts/claims per day Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of r

Interact with customers gathering support data to ensure invoice accuracy and work through specific billing discrepancies Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of receiving invoices and remitting payments through online applications M

Interact with customers gathering support data to ensure invoice accuracy and work through specific billing discrepancies Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of receiving invoices and remitting payments through online applications M

Southwest Medical (SM ) is a multi specialty group of Physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, fourteen clinical locations including nine health care centers, six urgent care clinics, four convenient care centers and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout sout