PAS Resource Specialist - DI Scheduling Specialist

Oregon Health & Science University•Portland, OR

About The Position

The PAS Resource Specialist - DI Scheduling Specialist provides customer service support and guidance to clinics and patients regarding financial screening, eligibility for services, managed care, and complex patient referrals. The role performs radiology-specific scheduling tasks to assist with scheduling and coordinating diagnostic imaging appointments in EPIC and RIS. The employee supports OHSU’s mission by delivering high-quality, cost-effective, family-oriented service and contributing to a collaborative environment integrating education, research, and clinical leadership. The position coordinates managed care authorizations and provides information about insurance plans and authorization requirements to physicians, clinical staff, PAS specialists, referring offices, patients, and other groups. It also schedules appointments across Diagnostic Imaging modalities, gathers information needed for scans, coordinates related care arrangements, and verifies patient demographics, insurance, eligibility, accounts, and authorizations. The role enters information accurately into OHSU databases or medical records and follows up on pending authorizations. This is a full-time position eligible for benefits. The employee must be able to work independently from home or in the office and concentrate in a busy, fast-paced, noisy office.

Requirements

One year of experience in a medical office setting, including high-volume direct patient contact and appointment scheduling; experience obtaining managed-care authorizations may be required depending on the position description; OR one and a half years of work experience in a high-volume direct public-contact position and six months of experience in a medical office setting.
Thorough knowledge of PAS policies and procedures.
Demonstrated advanced PAS user skills and extensive knowledge of integrated care at OHSU.
Basic computer skills, including word processing and Windows applications; experience with online scheduling.
Excellent verbal and written communication skills.
Strong customer-service orientation.
Demonstrated effectiveness in confrontational customer interactions.
Ability to work independently from home or in the office.
Ability to concentrate in a busy, fast-paced, noisy office.

Nice To Haves

Associate degree.
Two or more years of experience in a medical office setting.
Radiology office experience (strongly preferred).
Database skills.
Experience with RIS and EPIC systems.
Radiology-specific medical terminology.

Responsibilities

Maintain current information on managed care insurance plans and serve as a resource on authorization requirements.
Obtain managed care authorizations for consultations, procedures, office visits, care arrangements, and other ancillary or clinical services as needed.
Serve as a resource on service-area ICD9 coding requirements.
Resolve patient concerns and managed-care problems using problem-solving and negotiation skills.
Provide high-quality customer service to external customers, including patients, referring providers, clinics, and insurance carriers, and internal OHSU providers and staff.
Communicate promptly and professionally through face-to-face and telephone interactions; handle crises and standard complaints, provide flexible coverage of internal service needs, and apply process-improvement methods.
Schedule patient appointments online and manually when necessary across Diagnostic Imaging modalities.
Maintain current information regarding schedules for resources and providers and serve as a liaison and information resource for physicians, nursing support staff, coworkers, admitting, surgery, and perioperative services.
Collect the information needed from physicians and clinics to schedule imaging scans, including order information, ICD9 codes, diagnosis, and equipment needs.
Coordinate care arrangements, including IRU time, preoperative appointments, PAT clinic, and other ancillary and clinical services as needed.
Gather or verify patient demographics, insurance coverage, and financial status; confirm coverage eligibility and clarify managed-care arrangements.
Verify that appropriate accounts are active and associated with services to be received, and confirm authorizations for imaging procedures.
Accurately enter information into OHSU databases or the medical record and follow up on pending authorizations until obtained.
Perform other duties as assigned.