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Managed Care Coordinator (PAS Resource Specialist)
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-85759338

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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 (PAS Resource Specialist)

## Work Schedule, Hours, FTE, Salary Range
* FTE: 1.0, Full Time
* Schedule: Monday -Friday, 8:00am -5:00pm
* Salary Range: $19.51 - $26.38 per hour
* Location: Portland, OR (Downtown)
* Job Type: Union Represented (AFSCME)
## Functions/Duties of Position
This position is responsible for managed care processes within Revenue Cycle Operations. The Revenue Cycle Operations managed care coordinator is an integral part of the RCO team by providing clear and accurate information regarding our patient's financial obligations related to their visits, treatments, and/or inpatient admissions. This position will work closely with the Ambulatory Access Service Intake Coordinators, Clinical staff, and RCO leadership to ensure patients receive optimal services related to their care.
This position serves as a member of the Revenue Cycle Operations department, which is responsible to support the systems and operations of ambulatory practices, professional service and hospital departments.
The incumbant will have an extensive knowledge of Managed Care processes in the ambulatory and inpatient setting included but not limited to insurance eligibility, benefits verification and authorization requirements. He/She is knowledgeable about the Epic system and current best practice referral and prior authorization workflows. The incumbant is able to provide support and backup to the Revenue Cycle Operations Department as needed for cross-coverage for all managed care workflows within the department.
## Job Requirements
* At least one year of experience in a medical office setting in a managed care position, including high-volume scheduling of appointments, multi-line phone system, medical terminology and obtaining managed care authorizations
* The candidate must have a thorough knowledge of managed care policies and procedures, as well as authorization and referral processes in EPIC
* Candidates will have demonstrated advanced managed care user skills
* Experience with electronic scheduling, managed care websites and electronic medical record systems
* Basic computer skills including word processing
* Windows applications, on-line scheduling, and a preference for data-base skills
* Strong customer service orientation
* Demonstrated effectiveness in confrontational customer interactions
* Excellent communication skills, both written and verbal
* Demonstrated knowledge of managed care policies and procedures including appropriate timelines, paperwork, regulations, communication and follow-up are also required
* Demonstrated efficiency, problem solving and negotiation skills in resolving patient concerns and managed care related problems
* Must meet Department performance standards measuring efficiency, production, timeliness and accuracy. This will be reviewed on a regular basis both as a team and as an individual
* Ability to multi-task in a high volume situation
* Strong attention to detail and processes
* Ability to work autonomously, with a high level of accuracy, speed and exhibit a willingness to work with deadlines
* Must be able to perform the essential functions of the position with or without accommodation
* High School Diploma or equivalent
* OHSU Experience preferred
* Advanced computer skills, including MS Word, Excel and Access, OHSU Epic skills and online resource use knowledge
## 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 (PAS Resource Specialist)
*Department:* Revenue Cycle Operations
*Location:* MSB 1002
*Drug Testable:* No
*Job:* IRC67103

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