Join Our Team at Optum 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
Optum Waste and Error Claims Investigator 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
Duo Health Clinical Documentation Integrity Specialist Duo Health is a new type of medical group designed around the needs of patients with chronic kidney disease and their physicians. Our unique Health Mobilization platform partners multidisciplinary care
Medical Review Specialist Regular Exempt General Description: Responsible for conducting clinical reviews of post-service and pre-payment claims requiring medical documentation to determine medical necessity, coding accuracy, reimbursement appropriateness, and compliance with clinical guidelines, payment policies, and regulatory
Claims Processor Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS-1500) and Uniform Billing Form 04 (UB-04) formats, as well as member reimbursements, by applying payment rules to determine appropriate
Utilization Operational Supervisor Regular Exempt GENERAL DESCRIPTION: Oversees and monitors the administrative operations of the Utilization Management unit, ensuring effective management of the precertification process in accordance with organizational standards. Provides direct supervision to Utilization Management
JOB DESCRIPTION Job Description Job Title: Medical Billing Specialist Status: Full-Time, Non-Exempt Reports to: Billing Director Schedule: Monday - Friday, 8:30am-5:00pm Location: In-person or hybrid Compensation: $26.00 - $29.00/hourly depending on experience. Position Summary The Medical