Medication Resource Specialist (PAS Resource Specialist)
Medication Resource Specialist (PAS Resource Specialist)
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Job Description
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 maternity care (including deliveries) womens reproductive health behavioral health care and counseling transgender care pediatric care travel immunizations podiatry sports medicine acupuncture minor procedures and health maintenance with preventive care. Between 200 and 275 patients are seen per day 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; 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 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 verbal and written communications skills. Strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions.
Preferred Qualifications
- High school diploma or equivalent.
- 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.
Additional Details
Exposure to ill patients flu colds viruses.
All are welcome
Required Experience:
Unclear Seniority
Employment Type
Full-Time
