Top Managed Care Executive jobs in Oregon

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Medical insurance experience: Preferred

Essential Functions:

• Processes managed care referrals and sends to managed care claims department. Checks messages for pended back referrals and corrects information as needed. Responds to patient and/or specialists requests for referrals.
• Communicates patient needs/information to specialist/provider offices. Communicates with insurance companies regarding authorization for referrals. Documents authorization and follow up referral information in computer and patient record as appropriate.
• Opens, processes, and distributes mail daily. Maintains an organized and prioritized workload and responsibility for excellent customer service and patient satisfaction.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.