Financial Interviewer (PAS Revenue Cycle Specialist)

Oregon Health & Science University•Portland, OR

10d•Remote

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. The purpose of this position is to collect and record accurate and complete required demographic, insurance, and financial information for patients receiving outpatient services. Performs employee requirements as outlined in Compliance Roles and Responsibilities, Code of Conduct and Respect at the University for OHSU Hospital and Clinics. Function/Duties of Position Customer Service Provides high quality customer service to both external and internal customers that meets or exceeds the service standards of the health care industry. Promptly greet all patients, visitors, and others in a warm, courteous, and professional manner. Demonstrates the ability to communicate effectively, timely, and respectfully at all times, especially in a high stress environment. Provides flexible coverage to assist with internal service needs and the continuous application of process improvement methods and skills. Determines customer needs proactively, and direct inquiries to appropriate resources. As problems and miscommunications occur with internal or external customers, demonstrates the ability to clarify and resolve problems immediately to avoid further communication breakdowns. Demonstrates respect and cooperation in all staff relationships, with a genuine willingness to prevent or resolve inter-personal conflicts. Answers multi-line telephone inquiries. Determine caller needs and assist callers efficiently and appropriately. Patient Registration Gathers, adds, updates, and/or verifies detailed demographic information and any applicable forms. Complete registration from patient work queues, email, or inbasket as assigned. 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. Provide financial screening for low income or non-sponsered patients and refer 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. Provide financial screening for low income or non-sponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate. Insurance Verification/Financial Clearance 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. Complete insurance verification on each patient’s insurance using electronic verification in RTE, payer portals, or other required methods. The PAS Revenue Cycle Specialist staff will also re-verify the eligibility insurance information if the insurance was not verified in the current month. Reviews MMIS for all uninsured or single coverage patients Provide financial screening for low income or non-sponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate. Works closely with Patient Financial Services on referrals or questions. Maintain knowledge of current insurance plans along with the Epic plan distinction, and current eligibility verification process. Other duties as assigned.

Requirements

High School diploma or equivalent
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
Candidates will have demonstrated advanced PAS user skills
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

Responsibilities

Provides high quality customer service to both external and internal customers
Answers multi-line telephone inquiries
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
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
Provide financial screening for low income or non-sponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate
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
Complete 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
Maintain knowledge of current insurance plans along with the Epic plan distinction, and current eligibility verification process
Other duties as assigned