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Managed Care Coordinator
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-85759339

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Oregon Health & Science University

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  Job posted:   Tue Mar 13, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Managed Care Coordinator

## Work Unit Description
## Work Schedule, Hours, FTE, Salary Range
* FTE: 1.0, Full Time
* Schedule: Monday - Friday, 8:00am - 4:30pm
* Salary Range: $19.51 - $26.38 per hour
* Location: Portland, OR (South Waterfront)
* Job Type: AFSCME union represented
## Functions/Duties of Position
OHSU Dermatology is located in the Center for Health & Healing on the South Waterfront in Portland, Oregon. The Department of Dermatology is dedicated to providing our patients the best and most innovative dermatologic care for the broad range of skin, hair, nail, and mucous membrane disorders. The department recognized the need for balance in applying core values to everything we do. We value the balance of: individual autonomy with the wisdom of the group, mastery of current knowledge with continuous exploration and improvement, optimism with pragmatism, fun with accountability, integrity with tactful honesty, and quality and excellence with efficiency. Oregon Heath & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation, and leadership in health care, education, and research.
The Managed Care Coordinator (PAS Resource Specialist) acts as guidance for PAS Specialists, PAS Trainees and other staff in the areas of health care contract terms, complex patient referrals, and other managed care issues. The Managed Care Coordinator (PAS Resource Specialist) performs in a manner which maintains the confidentiality and privacy of each patient, promotes positive health habits through appearance and attitude. The Managed Care Coordinator (PAS Resource Specialist) is responsible for:
* Maintaining managed care authorizations for all consultations, procedures, office visits and care arrangements
* Providing and assisting with implementation and communication to support staff of new processes within the department, as needed
* Working cooperatively and productively with others to achieve shared goals
* Providing assistance in the use of the PAS network
* Supporting and adhering to the Code of Conduct and Policies and Procedures of both OHSU Hospital and clinics and the Department of Dermatology and to the rules and regulations of JCAHO requirements
* Modeling ethical and appropriate behavior, professional standards, compliance and personal integrity
## Job Requirements
Required Qualifications:
* One year of experience in a medical office setting preferably in a managed care position, including high-volume direct patient contact, scheduling of appointments and obtaining managed care authorizations
* Demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU
* Knowledge of PAS policies and procedures
* Basic computer skills, including MS Office including Outlook, Word and Excel, knowledge of Windows applications
* Strong customer service orientation and effectiveness in confrontational customer interactions
* Demonstrated working knowledge of medical terminology
* Experience with electronic scheduling, managed care (referrals, authorizations) and documentation systems
* Experience with high volume multi line phone system
* Excellent customer service skills, including verbal and written communications skills
* Demonstrated knowledge of managed care intricacies including appropriate timelines, paperwork, regulations, communication and follow-up
* Demonstrated problem solving and negotiation skills in resolving patient concerns, scheduling challenges, and managed care related problems
* Demonstrated reliable attendance record
* Ability to multi-task in a high volume situation
* Ability to problem solve and retain pertinent information
* Professional appearance and demeanor
Preferred Qualifications:
* High School graduate or equivalent
* Experience with OHSU network applications, to include EARL, Cadence, and viewing of Prelude
## Additional Details
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or
*Job Title:* Managed Care Coordinator
*Department:* Dermatology
*Location:* CHH 16123
*Drug Testable:* No
*Job:* IRC67476

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