Health Plan Coordinator (Clinics)

Summary: Hillsboro Medical Center is seeking a Health Plan Coordinator responsible for maintaining patient referral and authorization requirements as established by individual insurance plans. This role involves providing exceptional customer service, confirming health insurance coverage, and handling various administrative tasks within a clinical setting. Responsibilities: - Verification and updating of insurance, process referrals and authorizations as indicated by individual insurance plans, assists patients with co pay and drug assistance programs, monitor coverage limits for services as necessary, collecting payments, stay informed on insurance updates - Obtaining medical records and authorizations, updating patient charts, and sending copies to relevant parties - Answering phone calls, triaging patient needs, relaying messages, and responding to inquiries - Maintaining patient records, managing correspondence, processing insurance claims, opening clinic as needed, ordering supplies - Greeting patients, gathering information, scheduling appointments, and addressing patient concerns Required Qualifications: - Understanding of medical terminology, insurance authorization processes, healthcare and billing procedures and HIPAA regulations and confidentiality - Understanding of electronic Health Records and coding systems - Effective verbal and written communication, active listening and interpersonal skills - Time management, prioritization, attention to detail, and multitasking - Learning and becoming proficient in computer software, including EHR systems and scheduling software - Excellent customer service skills including patience, empathy and problem-solving - Learn and effectively use computer and software applications as needed to perform job duties - Maintain a professional appearance and demeanor - Learn and effectively use new technology/platforms in a timely manner - Work independently with moderate supervision - Collaborate effectively with healthcare team members - Adjust to changing priorities and work demands Required Skills: Medical terminology, Insurance authorization processes, Healthcare billing procedures, HIPAA regulations, Electronic Health Records, Coding systems, EHR systems, Scheduling software, Patience, Effective verbal communication