Optum Claims Manager Jobs (NOW HIRING)

We are seeking a PB resource to support the transition of Optum Claims Manager edits to Epic charge review edits and assist with charge router cleanup. The ideal candidate should have expertise in ...

Collaborate with stakeholders including business leaders, claims operations, IT teams, and vendors ... Exceptional organizational skills and a track record of managing high-impact healthcare IT projects.

Collaborate with stakeholders including business leaders, claims operations, IT teams, and vendors ... Exceptional organizational skills and a track record of managing high-impact healthcare IT projects.

Background with claims editing software (e.g., Optum CES, Web Strat, McKesson, etc.) * Experience in implementing and managing Prospective Payment System vendor application (Optum PPS, MicroDyn, 3M ...

Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...

Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...

Resolve Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical record ...

Epic healthcare software and/or Optum claims edit system knowledge * Strong understanding of ... Ability to multi-task, prioritize, and manage time wisely * Self-motivated, ability to work ...

Complete any ad-hoc audits that approved by Claims management that are requested by upper ... Optum Encoder or similar coding program/websitesNeighborhood Health Plan of Rhode Island is an ...

Complete any ad-hoc audits that approved by Claims management that are requested by upper ... Prior experience with Optum Encoder or similar coding program/websites Neighborhood Health Plan of ...

Complete any ad-hoc audits that approved by Claims management that are requested by upper ... Prior experience with Optum Encoder or similar coding program/websites Neighborhood Health Plan of ...

Complete any ad-hoc audits that approved by Claims management that are requested by upper ... Prior experience with Optum Encoder or similar coding program/websites Neighborhood Health Plan of ...

... IEDI, Optum Exchange, Jopari, PNT, and Office Ally. Electronic claim generation represents ... Experience in computer operations, particularly file management and FTP processes. * Knowledge of ...

... Referral Manager) and eCAMS Provider Portal. * Verify receipt of claims and follow up with VA representatives and Third-Party Administrators (TPAs) such as Optum or TriWest * Authorization ...

Optum is a global organization that delivers care, aided by technology to help millions of people ... Understanding of claims processing end-to-end * Lead implementation management for any program ...

Optum is a global organization that delivers care, aided by technology to help millions of people ... Understanding of claims processing end-to-end * Lead implementation management for any program ...

Optum is a global organization that delivers care, aided by technology to help millions of people ... Understanding of claims processing end-to-end * Lead implementation management for any program ...

Optum's EHR Services represents one of the fastest growing practices within Optum Insight ... Excellent time management, organizational, and prioritization skills and ability to balance ...

Optum's EHR Services represents one of the fastest growing practices within Optum Insight ... Excellent time management, organizational, and prioritization skills and ability to balance ...

Optum's EHR Services represents one of the fastest growing practices within Optum Insight ... Excellent time management, organizational, and prioritization skills and ability to balance ...