Job Description
In a bustling cosmopolitan area surrounded by nature, Adventist Health Portland has been one of the area's leading healthcare providers since the 1800s. In partnership with OHSU, we are comprised of a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout East Portland and the surrounding areas. There are many outdoor adventures readily available, including carving the snow at North America's only year-round ski resort, hiking along the Columbia River Gorge or taking a day trip to the unmatched beauty of the Oregon coast.
Job Summary:
Consolidates and processes data gathering results of demographic information of referral bases (i.e. diagnoses, referral sources, insurance, visit ratio, etc.) for administrative use. Compiles the regulatory compliance components of department. Obtains insurance authorizations and provides updates on coding and billing procedures for department. Coordinates small program(s) with limited budget/impact. Applies substantial knowledge and experience to perform a wide range of advanced activities and/or determines how to use resources to meet schedules and goals; serves as working supervisor for team or work group.
Job Requirements:
Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
• Five years' relevant experience: Preferred

Essential Functions:

• Manages staff competency completion. Monitors staff compliance with documentation, billing, staff requirements and continuing education
• Coordinates daily activities and functions of PI program. Manages ongoing authorization for Office of Medical Assistance Programs (OMAP) and worker's compensation insurances.
• Maintains monthly statistics, physician referrals, insurance verifications and authorization. Monitors productivity and charge accuracy.
• Reviews patient charts for accuracy and treatment outcomes.
• Performs other job-related duties as assigned.

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, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
About Us
Adventist Health Portland, part of both the Adventist Health and Oregon Health and Science University health systems features of a 302-bed medical center, 34 medical clinics, and home care and hospice services in the Portland metro area. Our full-service acute care medical center provides a full range of inpatient, outpatient, emergency and diagnostic services to communities on the city's east side. Key services include cardiovascular care, emergency services, orthopedics, radiation oncology, surgery, imaging, rehabilitation, and labor and delivery. Adventist Health Portland's mission executed by more than 550 physicians, 1,900 employees and 250 volunteers serving a local community known for its outdoor activities, independent creatives and exquisite culinary opportunities.