This role is a key partner for market operational and financial performance of the PH Heart & Vascular Institute in coordination with the Administrator and the President of the Heart & Vascular Institute. This role is a key collaborative partner with clinical and administrative leadership for the market. Partners with the market chairs and chiefs to develop and implement

Supervises front office and clerical functions in a multi specialty physician practice setting. Supports the Practice Manager in the daily administrative operations of the practice. Collaborates with physicians in the day to day administration and supervision of clinical staff. Accountabilities Schedules/co ordinates meetings for physicians and oversees composition and pr

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

. Work Schedule and Additional Information Full time employment Work hours are 8 00 AM to 4 30 PM, Monday Friday, with 60 minute lunch. Salary In some cases, the starting salary may be non negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & E

Review the hospital census or utilize established referral method to identify self pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Document the results of the screening in the onsite tracking tool and hospital computer system. Face to face screen patients

Review the hospital census or utilize established referral method to identify self pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Document the results of the screening in the onsite tracking tool and hospital computer system. Face to face screen patients

Manages day to day and production operations for a team of 52 registrars Develops procedures to increase departmental accuracy and efficiency through prompt identification and resolution of routine and complex production issues Assesses, evaluates, and addresses daily workload and queues Analyzes productivity of registrations compares productivity to capacity plan. Identi

Patient telephonic outreach to schedule patient's health screenings of quality measures Use telephonic software for all outreach calls made and answer and assist inbound calls received from patients who have been asked to call back Collect and verify patient demographic information, insurance eligibility including plan co insurance, language, and ethnicity preference for

Engage members either face to face or over the phone to have a discussion about their health Review available member service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care) Conduct comprehensive member assessment that includes bio psychosocial, functional, and behavioral health needs Utiliz

Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies Educate customers regarding the availability of receiving invoices and remitting payments through online applications Resolved concerns related to patient balances on their accounts. Handles inbound calls. Routes accounts for review and resolution

Perform Skilled Nursing Facility (SNF) clinical documentation reviews on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Complete SNF concurrent reviews from a team queue, updating authorizations on a timely basis Collaborate effectively with the members' health care teams to establish an optimal d

Process requests regarding stop payments and ACH/Bill pay transactions Process requests regarding account transfers and closures Assist with documenting and writing procedures Process escalation requests from internal partners Understand and research money movement between accounts Serve as a subject matter expert on projects impacting Financial Transactions as well as dr

Patient telephonic outreach to schedule patient's health screenings of quality measures Use telephonic software for all outreach calls made and answer and assist inbound calls received from patients who have been asked to call back Collect and verify patient demographic information, insurance eligibility including plan co insurance, language, and ethnicity preference for

Responsible for the overall direction, coordination, implementation, execution and completion of IE and other related programs ensuring consistency with company values, strategy, goals, timeline, and budget Excellent client and delivery risk and issue management capabilities Management of customer relationships and contracts Develops solid intra company relationships by p

Schedules procedures appropriately. May interact with various scheduling tools Fills empty spaces on schedules as cancellations occur from patient waiting list Identify scheduling conflicts, notify appropriate people, and rearrange schedules to eliminate conflicts Calls patients from specialty referral list to arrange for preventive screenings when applicable Accurately t