PAS Resource Specialist

Oregon Health & Science University • Portland, OR

78d

About The Position

The Patient Access Resource Specialist (PASR) gathers and records required information about patients, provides customer services which includes confirming health insurance coverage, determining individual financial obligations, verifying that necessary authorizations for care have been obtained, scheduling physician office appointments, cancer treatment appointments, and ancillary appointments, and assisting patients in an office or practice setting. This position may be responsible for scheduling a high volume of complicated patient procedures and clinic appointments. This position will serve as a liaison and information resources for physicians, nursing support staff, and coworkers, referring physician offices, patients and insurance companies on referral requirements per diagnosis and service. This role will be required to answer incoming calls to the clinic, to schedule, transfer, or triage to a clinical team. This role will explain detailed complicated procedures to patients and answer any patient questions or concerns within scope. Works closely with other medicine/surgery clinics for appointment coordination. Works reschedule and wait lists when necessary; Prepare and mail, fax, or email new patient information packets when necessary; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary.

Requirements

• One year of experience in a medical office setting, including high-volume direct patient contact.
• Experience obtaining managed care authorizations.
• Thorough knowledge of PAS policies and procedures.
• Demonstrated advanced PAS user skills.
• Extensive knowledge of integrated care at OHSU.
• Basic computer skills including word processing and Windows applications.
• Excellent verbal and written communications skills.
• Strong customer service orientation.
• Demonstrated effectiveness in confrontational customer interactions.

Nice To Haves

• HS Diploma or advanced degree preferred.
• Experience in a medical and/or oncology office setting.
• Demonstrated reliable attendance record.
• Demonstrated problem solving and negotiation skills.
• Demonstrated understanding of managed care.
• Knowledge of Epic systems.
• Knowledge of OHSU network systems, including Outlook and Microsoft Office products.

Responsibilities

• Provide the highest level of customer service to both external and internal customers.
• Share business expertise and disseminate information to PAS Specialists within the Department.
• Instruct co-workers as needed in Epic.
• Maintain a service-based working knowledge of diagnostic and procedural coding.
• Provide on-the-job training, orientation, guidance, and coaching for new PAS personnel.
• Connect patients with appropriate individuals to progress their care in the clinic.
• Check in and out clinic, procedure, and infusion appointments.
• Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments.
• Verify patient eligibility and secure referral/authorization prior to appointments.
• Obtain managed care authorizations for consultations, procedures, office visits, and care arrangements.
• Obtain prior medical records and studies when appropriate.
• Participate in appropriate educational activities that enhance general knowledge or ability to do assigned work.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED