Health Plan Coordinator; Clinics

Position: Health Plan Coordinator (Clinics)

Position Summary

Pay range: $21.93/hr to $30.24/hr

The Health Plan Coordinator is responsible for maintaining patient referral and authorization requirements as established by individual insurance plans. This role involves providing exceptional customer service, confirming patient health insurance coverage, welcoming patients, answering phones, scheduling appointments, updating and verifying insurance, and handling other office duties. The ideal candidate possesses strong organizational skills, attention to detail, and the ability to multitask in a fast‑paced environment while contributing to a positive work environment that promotes HMC values.

Essential

Functions

Representative duties and responsibilities include, but are not limited to:

Insurance And Financial Management

• Verification and updating of insurance; processing referrals and authorizations as indicated by individual insurance plans; assisting patients with copay and drug assistance programs; monitoring coverage limits for services as necessary; collecting payments; staying informed on insurance updates.

Medical Record Management

• Obtaining medical records and authorizations; updating patient charts; sending copies to relevant parties.

Telephone Triage And Communication

• Answering phone calls; triaging patient needs; relaying messages and responding to inquiries.

Administrative Tasks

• Maintaining patient records; managing correspondence; processing insurance claims; opening clinic as needed; ordering supplies.

Patient Check-in And Check-out

• Greeting patients; gathering information; scheduling appointments; addressing patient concerns.

Job Specifications Knowledge Of

Understanding of medical terminology, insurance authorization processes, healthcare and billing procedures, HIPAA regulations, and confidentiality.

Understanding of electronic health records and coding systems.

Skill In

• Effective verbal and written communication, active listening, and interpersonal skills.
• Time management, prioritization, attention to detail, and multitasking.
• Learning and becoming proficient in computer software, including EHR systems and scheduling software.
• Excellent customer service skills, including patience, empathy, and problem‑solving.

Ability To

• Learn and effectively use computer and software applications as needed to perform job duties.
• Maintain a professional appearance and demeanor.
• Learn and effectively use new technology/platforms in a timely manner.
• Work independently with moderate supervision.
• Collaborate effectively with healthcare team members.
• Adjust to changing priorities and work demands.

Equal Employment Opportunity Statement

Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law.

We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

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