Specialty Care Coordinator

OUTSIDE IN•Portland, OR

2d•$25 - $27

About The Position

The Specialty Care & Community Partnerships Coordinator assists Care Teams in a multi-disciplinary clinic serving patients by coordinating all external (and internal specialty) medical visits for client panels. This position will work with our Downtown and East Clinics. Essential Duties Work as part of a cohesive and innovative medical referrals team to provide support for medical Care Teams and connect under-served patients with needed medical referrals - both internal/external for all clinic and outreach clients, including: Verifying the client’s insurance, Project Access, or other financial assistance programs Locating appropriate specialty clinic offices that will accept the client Sending all required chart information and other paperwork required to specialty clinic Completing all prior authorizations as required by insurance Scheduling specialty appointments as needed Scheduling interpretation for the appointment as needed Communicating the appointment and scheduling details to clients, including what to bring, special instructions, and expectations Following up with external office records, as needed Follow-up with the care team regarding details of the appointments and follow-up (i.e. barriers, transportation, medical housing, appointment reminders, etc), as needed Advocate for patient with external organizations and clinics as they navigate the referral process Responsible for developing expertise in navigating insurance systems and will work with the front desk to identify and understand how insurance impacts the referral process Build and maintain relationships with community social service partners Attend staff meetings and clinic trainings; assist in training staff and/or volunteers in the referrals processes; attend provider meetings and other staff meetings as needed Identify opportunities for improvement to clinic processes and workflows; participate in process improvement projects Sorting, prioritizing, and processing referrals Navigating the insurance system and completing all necessary prior authorizations Following up after completion of referrals to request medical records from specialty clinics Coordinating and managing in house specialty clinics and coordination with outside partnerships such as the Casey Eye Institute, Medical Teams International, Pacific University Identify and address difficulties and barriers within referral process. Other duties as assigned.

Requirements

Excellent communication and organizational skills
Able to handle multiple tasks, escalated clients and crisis situations
Willingness and ability to learn quickly and adapt to a variety of situations
Able to work with and advocate for people from diverse ethnic, cultural, gender, socioeconomic and sexual preference backgrounds
Able to work as a member of a team as well as independently
Strong reception and administrative skills with high accuracy and attention to detail
At least one year related experience in a clinical setting
Must be able to pass Department of Health Services criminal background check

Nice To Haves

Bilingual fluency preferred
Medical training or experience preferred

Responsibilities

Verifying the client’s insurance, Project Access, or other financial assistance programs
Locating appropriate specialty clinic offices that will accept the client
Sending all required chart information and other paperwork required to specialty clinic
Completing all prior authorizations as required by insurance
Scheduling specialty appointments as needed
Scheduling interpretation for the appointment as needed
Communicating the appointment and scheduling details to clients, including what to bring, special instructions, and expectations
Following up with external office records, as needed
Follow-up with the care team regarding details of the appointments and follow-up (i.e. barriers, transportation, medical housing, appointment reminders, etc), as needed
Advocate for patient with external organizations and clinics as they navigate the referral process
Responsible for developing expertise in navigating insurance systems and will work with the front desk to identify and understand how insurance impacts the referral process
Build and maintain relationships with community social service partners
Attend staff meetings and clinic trainings; assist in training staff and/or volunteers in the referrals processes; attend provider meetings and other staff meetings as needed
Identify opportunities for improvement to clinic processes and workflows; participate in process improvement projects
Sorting, prioritizing, and processing referrals
Navigating the insurance system and completing all necessary prior authorizations
Following up after completion of referrals to request medical records from specialty clinics
Coordinating and managing in house specialty clinics and coordination with outside partnerships such as the Casey Eye Institute, Medical Teams International, Pacific University
Identify and address difficulties and barriers within referral process
Other duties as assigned.