The Health Plan Coordinator is responsible for maintaining patient referral requirement needs through guidelines established by the patient’s individual insurance plans.
a) Education. High school graduate or GED preferred
b) License: Current CPR preferred.
c) Demonstrates professional appearance and personal conduct for the employee's particular job.
d) Uses effective communication skills taking into consideration body language, filters, listening, paraphrasing, questions with customers of diverse ethnic and cultural backgrounds.
e) Excellent grammar, spelling and mathematics abilities.
f) Demonstrates excellent telephone skills and customer service skills.
g) Demonstrates effective good organization skills
h) Knowledge of medical terminology, CPT and ICD-9 CM coding methodology
i) Demonstrates knowledge of managed care insurance plan requirements.
j) Ability to accurately type 40 WPM.
k) Demonstrates personal computer skills including working knowledge of Word and Excel programs.
m) Bilingual skills a plus.
At Tuality Healthcare, an OHSU Partner, it's an honor and a privilege to serve those near us. That's why since our beginnings in 1918, and as we expand our strong network of services through our clinical affiliation with OHSU, we continue to be committed to providing the best health care possible and a valued community partner. Our affiliation with OHSU brings the advanced medical resources of Oregon’s only academic health center, which allows local providers to receive guidance from some of the country’s top specialists and pass that expertise on to Tuality patients where they can be cared for in their community.
Tuality’s many awards showcase our position as one of the Portland metro area’s premier healthcare providers, including 5th straight year in Top 10 Healthiest Employers in Oregon from The Portland Business Journal, Tuality’s 6th straight Gold Plus Award from the American Heart Association, and 2016 #1 Nationwide Best Hospital IT Department to work for according to Healthcare IT News.
Here at Tuality our employees care about making a difference. In fact, they care so much that in our most recent employee satisfaction survey we had an 80% participation rate! Tuality is truly unique because of the relationships we build and as individuals we are seen and heard. Come be part of our team, and let your voice be heard!