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PCP and Hospitalist billing and coding experience. Serves as a resource to Optum Care staff on general billing guidelines. Uses, protects, and discloses Optum Care patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
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Oversee Quality Improvement and HEDIS/STARS metrics improvement with PCP offices and IPAs. Become a part of our caring community and help us put health first. Assist with network development and provider contracting with various providers and ancillary providers.
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The PCP will also work jointly with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs and clinical meetings as required that promote patient health and company goals.
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Communicates with other company departments regarding address and PCP changes. Receives, verifies and uploads PCP faxes. Communicates with other company departments regarding address and PCP changes.
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Benefits : Contacting insurance companies via phone or internet to obtain effective date of insurance coverage, type of coverage, co-pay or co-insurance information, coverage for x-rays and casting, PCP information if required, whether referral is required, and address for claims submission.
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Allscripts, eCW, Athena, and/or RCX system experience. reports to the Billing Manager and is responsible for performing medical billing functions and provide administrative support to the Billing and Collections department.
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Preparing the patient for the examination includes but is not limited to taking vital signs, history, drawing blood per PCP orders, authorizing prescription refills, managing inventory of medical supplies and equipment, keeping the clinical areas of the office clean and safe for patients, and provides health education for patients under the provider's direction.
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Assists patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance); and PCP change if necessary.
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Identify members without a PCP and refer to Member Services. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.
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The Primary Care Physician (PCP) works as a lead in our team-based care environment. This robust support allows our PCP to see fewer patients and spend more time with those they do. We are a value based care provider focused on quality of care for the patients we serve.
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Assures that continued medical care remains within the UCH provider clinic unless a change is authorized by the MCC-PCP. - Works with the MCC-PCP to assure that all referrals for specialty care by MCC-PCP are made within the participating network providers unless specific care is not available in that network.
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Weeks to allow the regular PCP to get up to speed learning the new system, then. between offices while they transition their EMR system to Allscripts. and mileage or rental car when they are in Orlando - or the other way around.
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The outreach liaison role is responsible for increasing engagement of eligible patients through direct member outreach in the community, including in hospitals, sub-acute facilities, PCP offices, at member's residences and telephonic outreach.
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Ability to use Electronic Medical Record (EMR) system specifically ECW. Client is seeking a seasoned Managed Care Primary Care Physician to join our elite group of providers. Knowledge of Medical Advantage, HEIDS, MRA and ICD-10 Coding.
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Coordinates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff to meet the complete medical socio-economic needs of clients. Coordinates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff to meet the complete medical socio-economic needs of clients.
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pcp job in Tampa, FL
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