Optim Health System

System Administrator

• Operating system maintenance including system backups, recovery operations, file maintenance.
• Software installation and upgrades including acquiring, installing, scheduling, and testing software.
• Troubleshooting and issue resolution for hardware, software, and connectivity problems.
• Active Directory and identity management including administration of Microsoft Active Directory, Azure AD, and related services.
• Virtualization support to enhance environments for Nutanix and Purestorage.
• IT support for Facility EMR concerning security compliance and system integrity.
• Administration of server settings, updates, and helpdesk support.

IT System Administrator I

Insurance

• Protects the financial standing of Optim Health by performing functions related to the billing, coding verification, collection, payment, and customer service for all payer and patient accounts.
• Under general supervision, is responsible for processing insurance and billing insurance in a timely manner.
• Reviews assigned electronic claims and submission reports.
• Resolves and resubmits rejected claims appropriately as necessary.
• Works closely with Medical Records, Coding, Revenue Integrity, Patient Access, and Patient Financial Services departments to resolve outstanding claim errors by obtaining necessary information for accurate billing.
• Processes daily error logs, stalled reports, aging claims, and any ah-hoc reports.
• Addresses claim issues from insurance companies requesting additional information and/or checking status of billings.
• Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
• Initiates next billing, assign appropriate follow-up and/or collection step(s), this is not limited to calling patients, insurers or employers, as appropriate.
• Sends initial or secondary bills to Insurance payers.
• Documents billing, follow-up and/or assign collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to Supervisor/Manager if necessary.
• Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager.

IT System Administrator I

Insurance Follow-up Denial Specialist I