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PAS Resource Specialist
US-OR-Portland
Job ID: 2025-33829 Type: Regular Full-Time # of Openings: 1 Category: Hospital/Clinic Support Portland, OR (Marquam Hill)
Overview
Customer Service: Provide highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs and the continuous application of process improvement methods and skills.
New Visit Coordination: Receive incoming internal and external referrals, determine appropriateness of referral and provider assignment. Request and collect all outside records, initiate EARL shell for external referrals, update EARL status appropriately based on scheduling and referral status to meet the ASA benchmarks. Communicate with patient and referring provider office about insurance barriers and possible out of pocket expenses at the time of consult. Escalate medical records for medical review when necessary. Connect uninsured patients to Financial Assistance program where appropriate. Monitor medicaid and uninsured access. Enrollment & Authorization: Gathers/verifies patient and guarantor information including demographics, insurance coverage, and financial status and communicates with patients frequently regarding pending authorizations as notified by the MCC DoS team.
Arranged Care: Schedule returning patients for both surgical and clinical appointments via EPIC Cadence. Arranges wheelchairs, interpreters when necessary and accommodates other special needs whenever possible. Prepares and mails information packets to patients. Notifies patients of appointments via telephone and mail.
Point of Service Operations: Operates Front Desk at Clinic as requested. Updates EPIC Cadence fields as indicated prior to check in. Greets patients and confirms appointment in Cadence. Reviews insurance cards at check-in. Indentifies and collects TOS payments (including co-pays, deposits, co-insurance and deductibles). Explains and satisfies any patient signature requirements (such as NCS Forms, etc.) Provides receipts, posts payments as appropriate and completes cash drawer procedures. Reviews and updates Department Appointment Record at the end of clinic for accuracy.
Telecommunications: Triages all incoming telephone calls and routes callers to appropriate provider, staff or source; accurately documents and relays any messages; processes any requests for medication refills as directed by provider; directs calls of complaint, requests for information, urgent health cares concerns and general inquiries to appropriate source.
Surgery Managed care and Surgery scheduling: Confirm surgery benefit and obtain authorization for surgery and procedures in clinic. Work with Surgery Program Coordinator to schedule port cases and other surgeries as determined by Surgery Program Coordinator.
Administrative Duties: photocopying, data entry; Medical Record and Image scanning, LEAN process improvement work.
Responsibilities
One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and obtaining managed care authorizations. The candidate must have a thorough knowledge of PAS policies and procedures. Candidates will have demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU. Basic computer skills including word processing. Windows applications, on-line scheduling, and a preference for data-base skills. Excellent verbal and written communications skills. Strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions.
Qualifications
Bachelors Equal employment opportunity, including veterans and individuals with disabilities.
