Managed Care Coordinator (PAS Resource Specialist)
Oregon Health and Science University
January 4, 2018
This position is responsible for managed care processes within Revenue Cycle Operations. The Revenue Cycle Operations managed care coordinator is an integral part of the RCO team by providing clear and accurate information regarding our patient\u2019s financial obligations related to their visits, treatments, and/or inpatient admissions. This position will work closely with the Ambulatory Access Service Intake Coordinators, Clinical staff, and RCO leadership to ensure patients receive optimal services related to their care.
This position serves as a member of the Revenue Cycle Operations department, which is responsible to support the systems and operations of ambulatory practices, professional service and hospital departments.
The incumbent will have an extensive knowledge of Managed Care processes in the ambulatory and inpatient setting included but not limited to insurance eligibility, benefits verification and authorization requirements. He/She is knowledgeable about the Epic system and current best practice referral and prior authorization workflows. The incumbent is able to provide support and backup to the Revenue Cycle Operations Department as needed for cross-coverage for all managed care workflows within the department.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm