Managed Care Associate, Full Time, Day Shift

Nwregionalheart; Portland (OR); On-site; USD 24,796 - 30,307; Full time

Job summary

Adventist Health Portland is seeking an admissions clerk to support the Medical Imaging department. You will perform admitting and clerical duties to facilitate patient scheduling and coordinate film storage and filing.

You will assist radiologists to maintain department throughput and communicate with insurance companies regarding referrals and authorizations, documenting information in the patient record.

Qualifications

• High School Education/GED or equivalent: Preferred.
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred.
• Medical insurance experience: Preferred.

Responsibilities

• Processes managed care referrals and sends to managed care claims department. Checks messages for pended back referrals and corrects information as needed. Responds to patient and/or specialists requests for referrals.
• Communicates patient needs/information to specialist/provider offices. Communicates with insurance companies regarding authorization for referrals. Documents authorization and follow up referral information in computer and patient record as appropriate.
• Opens, processes, and distributes mail daily. Maintains an organized and prioritized workload and responsibility for excellent customer service and patient satisfaction.
• Performs other job-related duties as assigned.

Education

High School Education/GED or equivalent

Associate’s/Technical Degree or equivalent combination of education/related experience

Medical insurance experience

Job description

Overview

Adventist Health Portland has been caring for East Portland since 1893, growing alongside the community we serve. Today, more than 2,300 employees are dedicated to whole-person care, mind, body and spirit, across our 302-bed medical center, emergency department, and network of clinics, urgent care, home care and hospice services. The Adventist Health Northwest Heart Center, located on our medical center campus, provides advanced cardiovascular care, bringing together expert providers, innovative treatments and compassionate support for patients across the region.

Job Summary: Performs a variety of admitting and clerical duties to facilitate processing and scheduling of patients for the Medical Imaging department. Coordinates film storage and filing for the department. Assists radiologists as necessary to maintain department throughput.

Responsibilities

• Processes managed care referrals and sends to managed care claims department. Checks messages for pended back referrals and corrects information as needed. Responds to patient and/or specialists requests for referrals.
• Communicates patient needs/information to specialist/provider offices. Communicates with insurance companies regarding authorization for referrals. Documents authorization and follow up referral information in computer and patient record as appropriate.
• Opens, processes, and distributes mail daily. Maintains an organized and prioritized workload and responsibility for excellent customer service and patient satisfaction.
• Performs other job-related duties as assigned.

Qualifications

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Medical insurance experience: Preferred

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.