Department Overview
Family Medicine at South Waterfront is a community-based clinic offering primary care and specialty services for all types of patients. We treat everyone--babies, children, adolescents, adults (including moms-to-be), and seniors. Our services include prenatal care (including deliveries), women's reproductive health, behavioral health care and counseling, transgender care, pediatric care, travel immunizations, podiatry and foot care clinics, sports medicine, Osteopathic Manipulative Treatment (OMT), Office Based Medication Assisted treatment (OBAT), acupuncture, minor procedures, and health maintenance with preventive care. Between 175 and 275 patients are seen daily by our 40 plus providers assisted by 60 plus staff members.
The Managed Care Coordinator (MCC) is responsible for handling all aspects of the authorization process. The MCC processes incoming and outgoing department referrals along with prior authorizations for diagnostic services. This will include gathering appropriate and correct patient demographics, financial information, chart notes and other supporting documentation, and confirming correct health coverage.
Function/Duties of Position
Key Responsibilities & Performance Standards
- Obtains prior authorizations for medications. Enters all information accurately into Epic. Follows up on pending authorizations until they are obtained.
- Assists with obtaining diabetic Durable Medical Equipment (DME) for patients.
- Documents refill requests, including contacting pharmacies with questions/concerns.
- Communicates with patients/families, other health care team members, in a time and cost efficient, courteous manner. Demonstrates active listening skills and supportive, professional behavior at all times, to patients, families and staff. Documents all care given, observations, and patient response to care, accurately and legibly in English, in the medical record.
- Back up for answering phones and scheduling appointments as necessary.
- Back up for answering phones and scheduling appointments as necessary; additional coverage for front desk duties as needed.
Required Qualifications
- One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and may require experience obtaining managed care authorizations (dependent on position description). 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.
Knowledge And Skills Required
- Basic computer skills including word processing. Windows applications, on-line scheduling, and a preference for data-base skills. Excellent verbal and written communications skills. Strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions
Preferred Qualifications
- High school diploma or equivalent.
Additional Details
Exposure to ill patients – flu, colds, viruses.
All are welcome
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
