Providence Health & Services Resource Specialist - Medication Prior Authorization in Portland, Oregon
Providence is calling a Resource Specialist - Medication Prior Authorization (1.0 FTE, Rotating/Variable) to Providence Clinical Pharmacist at Providence Office Park in Portland, OR.
In this position, you will:
Facilitate processing of medication prior authorizations for clinic patients in accordance with established guidelines.
Serve as a liaison between physicians, pharmacies, clinic staff and insurance carriers to assure high quality service to Providence patients and clinics.
Required qualifications for this position include:
High school diploma or equivalent
Current state registration, license, or certification as appropriate to education
Working knowledge of coding, medical terminology, insurance billing, claims and managed care principles
Excellent verbal communication, negotiation and interpersonal skills
Preferred qualifications for this position include:
Certified Medical Assistant (CMA) or Medical Assistant (MA) with clinical experience working in clinic setting
3 to 5 years of experience in a medical clinic or managed care/health insurance plan
Working knowledge and/or experience of 3 to 5 years in an area such as prior authorizations, medical audits, appeals or delegation is highly
About Providence in Oregon
As the largest health care system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their health care needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Certified Nursing Assistant
Req ID: 136948