PAS Revenue Cycle Specialist

Oregon Health & Science University•Portland, OR

6d•Onsite

About The Position

The Centralized Check-In department is responsible for signing-in/admitting patients for their procedures and/or appointments at the Center for Health and Healing, Beaverton and Orenco campuses, as well as any new locations identified across OHSU Health in the future. If the patient has multiple procedures/appointments for that day, on a given campus, the Centralized Check-In process will allow the department to check-in/admit the patient for all care at one time. The Centralized Check-In department is also responsible for kicking off patients, event tracking, and signaling so that all care teams within the campus know where the patient is at in their care. Prior to signing-in/admitting a patient, the Centralized Check-In department is responsible for helping to resolve any critical properly prepared patient items that have not been completed (i.e. patient demographic and insurance/registration verification). Lastly, the Centralized Check-In department is responsible for greeting patients on specified floors within the campus to ensure patients are in the right place for their initial/next episode of care.

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.
Knowledge and Skills Required 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.
Ability to walk and stand for 6-8hours a day, position is extremely mobile.
Must be detail oriented, highly accurate and able to multi-task in high volume situations.
Must have demonstrable record of reliable attendance, punctuality, and proven successful performance at past and present.

Nice To Haves

Prior experience in medical office front desk and high patient volume.
Experience with Epic.
Knowledge and experience in Microsoft OneNote.
Knowledge of PAS procedures and integrated care at OHSU preferred, and/or completion of a PAS Trainee program.
Knowledge of Epic systems.
Knowledge of OHSU network systems, including Outlook and Microsoft Office products.
Knowledge of scheduling and front desk.
Basic medical terminology.

Responsibilities

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/Interviews 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. Schedules reservations into Epic with a base knowledge of diagnoses and procedures. Validates appropriate admitting locations by procedure and admitting provider to ensure appropriate patient placement. Obtains signatures and enters into computer all facility and regulatory required data and forms. Reviews all for accuracy. Responsible for all identity management corrections after hours. Identifies and collects co-pays, deductible payments, deposits, and prepayments for services as required.
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. Refers all non-sponsored patients to Oregon Health Plan (OHP) and provides information for financial assistance, working closely with Financial and Medicaid Services. Ensures all required forms are completed for services and confirmation of payment sources. Maintains current information on managed care insurance plans and serves as a liaison and information resource for patients, referring physician offices, and other OHSU staff. Applies problem solving and negotiating skills in resolving patient concerns and managed care related issues.
Other duties as assigned.