What are the responsibilities and job description for the Managed Care Associate (Outpatient) position at Adventist Health?
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:
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.
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
- Medical insurance experience: Preferred
Essential Functions:
- 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.
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.
