Managed Care Coordinator – Insurance Verification, Patient Estimates Specialist

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Oregon Health & Science University Foundation

WebsiteLinkedInAll Job Openings

51 - 200 employees

🤲 Charity

⚕️ Healthcare Insurance

📚 Education

Charity • Healthcare Insurance • Education

Oregon Health & Science University Foundation is a charitable organization dedicated to supporting healthcare innovation and education. The foundation funds vital programs across Oregon Health & Science University, advancing groundbreaking research in areas such as cancer, children's health, brain health, and reproductive health. Through donations and community support, OHSU Foundation aims to create a healthier future by facilitating access to cutting-edge medical care and fostering the next generation of healthcare professionals.

📋 Description

• This position is responsible for managed care, insurance verification and patient price estimate processes within the Centralized Managed Care & Price Estimates (CMC) department. • This position supports the OHSU systems and operations of ambulatory practices, professional services and hospital departments. • This position works closely with internal and external customers including Intake Coordinators, Clinical Staff, Surgery Schedulers, Care Managers, Financial Counselors, Insurance Companies, PCP Office Staff, and CMC Leadership to ensure patients receive optimal financial services related to their care. • The Managed Care Coordinator and Insurance Verification & Patient Estimates Specialist are an integral part of the CMC team by providing clear and accurate information regarding our patients' financial obligations related to their visits, treatments, procedures and/or hospital admissions. • This role is responsible for obtaining and/or verifying prior authorizations, verifying benefits, creating cost estimates, contacting patients to provide estimates, offer pre-service payment opportunity and collecting pre-service payments for visits, treatments, procedures and/or hospital admissions. • This position is also responsible for providing guidance for other staff in the areas of patient liabilities, health care contract terms, complex patient referrals, and other managed care issues.

🎯 Requirements

• 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, verifying medical insurance and obtaining managed care authorizations; OR One and a half years of work experience in a high-volume direct public contact position and 6 months experience in a medical office setting. • The candidate must have a thorough knowledge of PAS policies and procedures. • Candidates will have demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU. • The candidate must have a thorough knowledge of managed care policies and procedures, as well as authorization and referral processes in EPIC. • Experience with electronic scheduling, managed care websites and electronic medical record systems. • Basic computer skills, including MS Word, Excel and Access, OHSU Epic skills and online resource use knowledge. • Excellent communication skills, both written and verbal. • Demonstrated efficiency, problem solving and negotiation skills in resolving patient concerns and managed care/insurance 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. • Strong customer service orientation. • Demonstrated effectiveness in confrontational customer interactions.

🏖️ Benefits

• Healthcare for full-time employees covered 100% and 88% for dependents. • $50K of term life insurance provided at no cost to the employee. • Two separate above market pension plans to choose from. • Vacation - up to 200 hours per year dependent on length of service. • Sick Leave - up to 96 hours per year. • 9 paid holidays per year. • Substantial Tri-Met and C-Tran discounts. • Employee Assistance Program. • Childcare service discounts. • Tuition reimbursement. • Employee discounts to local and national businesses.