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Employment Type : Full-Time
POSITION SUMMARY: The work environment is a combination of multi-line telephone use, insurance hub, receptionist and scheduling coordination. It could involve assisting with the check-in and checkout processes. Gathers and records required information about referrals and authorizations for services, and routes it appropriately; provides specific customer services which include, confirming health insurance coverage and individuals obligations, obtaining necessary authorizations for care, scheduling appointments or procedures, and assisting patients in an office or clinic setting. Requires out of the box thinking, strong ability to multi-task and above all else, exceptional customer service skills. Assigned direct reports (not limited to the ones listed). If not applicable, please enter N/A:
The Health Plan Coordinator is responsible for maintaining patient referral and authorization requirement needs through guidelines established by the patient’s individual insurance plans.
KEY RESPONSIBILITIES
Performed majority of the time - please start with the responsibilities that are the most time consuming:
Processes referrals and authorizations as indicated by the various insurance plans, for consultations, studies and procedures.
Performed occasionally but critical to successful performance of the job:
Checks in patients to include gathering patient information, entering into computer, collecting co-payments, creating new charts and handles insurance information appropriately.
Decision making and budget responsibilities (e.g. impact limited to the employee, entire unit or organization-wide):
Impact limited to the employee.
N/A
JOB SPECIFICATIONS:
JOB SPECIFICATIONS
Education:
Required
N/A
Preferred
High school graduate or GED.
Experience:
Required
N/A
Preferred
Licenses, Certifications and/or Registrations:
Required
Preferred
Job Related Skills, Abilities and Behaviors:
Required
Demonstrates professional appearance and personal conduct for the employee's particular job.
Preferred
Bilingual in Spanish and English.
Other:
Required
N/A
Preferred
Overview: OHSU Health Hillsboro Medical Center, formerly Tuality Healthcare has always been committed to our community. It's a part of how we care for each other, and part of what makes this place different.
We had a humble start in 1918 when an enterprising woman named Minnie Jones Coy started a small six-bed hospital in her Hillsboro home. She brought together independent physicians under one roof to treat the sick and provide a safe place for mothers to give birth. A century after Minnie made her commitment to the people of Hillsboro, her vision continues as we provide world-class health care to patients.
As part of our affiliation with OHSU Health, we’ve changed our name to Hillsboro Medical Center. This new moniker reflects our expanded services and clinic locations that provide patients living in Hillsboro and western Washington County greater access to primary and specialty care.Additional Posting Information: Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.