Full-Time Prior Authorization Review Coordinator
Job Description
Application Deadline: 07/23/2023
Salary Range: $3,483 – $5,256
Work Location: Salem/Marion (hybrid position)
Do you have an interest in helping Oregonians in need by assisting healthcare providers? Do you have at least three years of experience dealing with the public in-person or by phone providing information about services and programs; explaining rules, programs, and procedures; and/or providing assistance, explaining requirements, and gaining compliance? We look forward to hearing from you!
Click Here to view a Dashboard of all current recruitments for the Health Systems Division. The specific positions associated with this posting are listed under REQ-132906. The dashboard identifies the business area (“Section”) and Unit for each position and provides a link to a position description to offer you greater context for the role. Section 1 of the position description outlines Position Information, including Work Location and Supervisor Name. Section 3 outlines the Description of Duties.
This posting will be used to fill one (1) permanent, full-time position. The position is classified and is represented by a union.
What you will do!
The Prior Authorization Review Representative (PARR) is responsible for receiving prior authorization (PA) requests for services covered by the Oregon Health Plan and initiating the steps required to complete the processing, review, and determination of the PA requests. This position utilizes Oregon Administrative Rules, member information and benefit package information to interpret applicable rules, regulation, decisions, policies, and procedures to ensure that complete and accurate PA information has been received from the requestor and assisting the requester with compliance of program requirements.
This position also supports Medicaid service providers by operating a provider hotline during normal business hours, and by managing a variety of tasks related to prior authorization and unit functions.
What’s in it for you?
- A position where your input and contributions impact the citizens of Oregon.
- 8 hours of vacation leave and 8 hours of sick leave per month
- Nearly unbeatable medical, vision, and dental benefits
- Pension and retirement programs
WHAT WE ARE LOOKING FOR:
Required Attributes
Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve.
Three years of experience performing public contact and/or customer service duties comparable to the work of a Public Service Representative.
At least two years of this experience must include dealing with the public in-person or by phone providing information about services and programs; explaining rules, programs, and procedures; and/or providing assistance, explaining requirements, and gaining compliance.
Requested Attributes:
- Experience supporting the implementation of policies, projects and programs at the community, state, and/or national level that advance health equity, address systemic health disparities, and elevate the voice of community and those with lived experience.
- Experience within the context of healthcare claims processing.
- Knowledge of federal requirements, state rules and program requirements for the Oregon Medicaid Program
- Demonstrates skills in the following areas:
- Excellent customer service and person-centered engagement
- Team collaboration & workload collaboration
- Technical and computer skills
- Workload planning & prioritization
- Responsiveness and problem-solving skills
- Written and oral communication, including preparation of reports and presentations
How to Apply
Please apply via Workday at the following link: https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Salem--OHA--Summer-Street/Prior-Authorization-Review-Coordinator--Public-Service-Representative-4-_REQ-132906-1 The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.235 total views, 0 today