Health Plan Coordinator (Clinics)

Hillsboro Medical Center • Hillsboro, OR

4d • $23 - $31

About The Position

The Health Plan Coordinator maintains patient referral and authorization requirements established by individual insurance plans. The role provides customer service, confirms patient health insurance coverage, and performs administrative tasks in a clinical setting. Duties include greeting patients, answering phones, scheduling appointments, updating and verifying insurance, and handling other office responsibilities. The ideal candidate is organized, detail-oriented, and able to multitask in a fast-paced environment while contributing to a positive work environment that promotes Hillsboro Medical Center values.

Responsibilities span insurance and financial management, medical record management, telephone triage and communication, administrative tasks, and patient check-in and check-out. The position requires knowledge of medical terminology, insurance authorization processes, healthcare and billing procedures, HIPAA regulations, electronic health records, and coding systems. The coordinator works independently with moderate supervision and collaborates with healthcare team members.

Requirements

• Knowledge of medical terminology, insurance authorization processes, healthcare and billing procedures, 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 skills.
• Ability to learn and become proficient in computer software, including EHR and scheduling software.
• Excellent customer service skills, including patience, empathy, and problem-solving.
• Ability to learn and effectively use computer and software applications needed for job duties.
• Ability to maintain a professional appearance and demeanor.
• Ability to learn and effectively use new technology and platforms in a timely manner.
• Ability to work independently with moderate supervision, collaborate effectively with healthcare team members, and adjust to changing priorities and work demands.

Responsibilities

• Verify and update insurance information, process referrals and authorizations according to individual insurance plans, assist patients with copay and drug assistance programs, monitor service coverage limits as needed, collect payments, and stay informed about insurance updates.
• Obtain medical records and authorizations, update patient charts, and send copies to relevant parties.
• Answer phone calls, triage patient needs, relay messages, and respond to inquiries.
• Maintain patient records, manage correspondence, process insurance claims, open the clinic as needed, and order supplies.
• Greet patients, gather information, schedule appointments, and address patient concerns.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed