Financial Interviewer (PAS Revenue Cycle Specialist)

About the position

To support Oregon Health Sciences University's mission by providing exemplary service to all patients, patient families, visitors, and staff who present to any area of Patient Access Services Department in person, via telephone, or over electronic communication. To greet, interview, register, and pre-register patients scheduled for hospital admission. The purpose of this position is to collect and record accurate and complete required demographic, insurance, and financial information for patients receiving outpatient services. This includes financial screening services, checking insurance eligibility, confirming health insurance coverage, and entering REALD (Race, Ethnicity, Language, and Disability). Performs employee requirements as outlined in Compliance Roles and Responsibilities, Code of Conduct and Respect at the University for OHSU Hospital and Clinics.

Responsibilities

• Gathers, adds, updates, and/or verifies detailed demographic information and any applicable forms.
• Completes Race, Ethnicity, Language, and Disability (REALD) questionnaire with patient and updates REALD Smart Form as required by law.
• Serves as liaison for patients and families with questions.
• Satisfies state regulations to identify support persons for individuals with disabilities.
• Correctly identifies patient service type to establish an accurate and billable account.
• Corrects patient identity inaccuracies, as identified.
• Follows Oregon Administrative Rules (OAR's) regarding workers' compensation in operation of OHSU and industry workman's compensation procedures.
• Initiates and completes claim info for worker's compensation injuries, personal injury, motor vehicle accidents, and crime victim accounts.
• Provides patient education regarding OHSU financial assistance, insurance coordination of benefits, Patient Rights, Medicare Secondary Payer Questionnaire, Notice of Privacy Practices, use of patient information and/or specimens in OHSU research, and other facility or regulatory information.
• Provides financial screening for low income or non-sponsored patients and refers patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate.
• Pre-Registration: Gathers, adds, updates, and/or verifies detailed demographic information, including REALD and support persons, prior to admission by calling the patient at home.
• Searching for patient information in a number of online databases including EPIC.
• Follow and complete daily task list as assigned by management.
• Gathers, adds, updates, and/or verifies detailed insurance coverage and financial status with each patient.
• Creates new and maintains existing insurance coverages/guarantors for a patient based on their insurances and the care being provided.
• Completes insurance verification on each patient's insurance using electronic verification in RTE, payer portals, or other required methods.
• Reviews MMIS for all uninsured or single coverage patients.
• Works closely with Patient Financial Services on referrals or questions.
• Maintains knowledge of current insurance plans along with the Epic plan distinction, and current eligibility verification process.
• Maintains access to all insurance website by signing in one time per month, at minimum.

Requirements

• High School diploma or equivalent AND one year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and registration and/or billing responsibilities.
• OR two years of work experience in a high-volume direct public contact, front-line non-healthcare setting position.
• Basic computer skills including word processing and Windows applications.
• Basic computer keyboarding skills including typing of minimum 40 wpm.
• Demonstrated working knowledge around insurances and benefits.
• Demonstrated excellent verbal and written communications skills.
• Strong customer service orientation.
• Demonstrated effectiveness during extremely confrontational customer interactions in a high stress environment.
• Demonstrated advanced PAS user skills or equivalent as well as extensive knowledge of integrated care models.

Nice-to-haves

• Thorough knowledge with insurance eligibility and healthcare registration.
• Thorough knowledge of insurance and financial policies.
• Thorough knowledge of PAS policy and procedures.
• Spanish preferred.
• OHSU experience.
• Demonstrated efficiency and problem solving in resolving patient concerns.
• Strong attention to detail and processes.
• Ability to work with a high level of accuracy, speed, multitask, and prioritize in high stress/high volume environments, with little direct supervision.
• Demonstrated record of reliable attendance, punctuality and proven successful performance at past and present employers.
• Demonstrated effective interpersonal skills, which promote cooperation and team work.