PAS Revenue Cycle Specialist

Oregon Health & Science University•Portland, OR

1d•Hybrid

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. This department handles checking in patients for all their care for the day at one time, event tracking, and signaling patient progress to care teams. They also resolve critical patient registration and insurance verification issues before check-in and greet patients to ensure they are in the correct location for their care. The role involves providing high-quality customer service, managing patient registration and interviews, and handling enrollment and authorization processes, including verifying insurance and collecting payments.

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.
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.
Must be able to work independently with little direct supervision.

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

Provides high quality customer service to both external and internal customers.
Greets all patients, visitors, and others in a warm, courteous and professional manner.
Communicates effectively, timely, and respectfully at all times, especially in a high stress environment.
Determines customer needs proactively and directs inquiries to appropriate resources.
Clarifies and resolves problems immediately to avoid further communication breakdowns.
Demonstrates respect and cooperation in all staff relationships.
Answers multi-line telephone inquiries, determines caller needs and assists callers efficiently and appropriately.
Determines priorities and acts quickly, makes decisions efficiently and in a calm manner in emergency and stressful situations.
Upholds institutional policies regarding general public areas on OHSU campus and inside OHSU buildings, including screening patients, visitors, vendors and reminding them of policies.
Serves as a liaison between clinical team, practice leaders, and case management for complicated patients and family members.
Gathers, adds, updates, and/or verifies detailed demographic information and completed/signed forms required for services.
Completes Race, Ethnicity, Language, and Disability (REALD) questionnaire with patient and updates REALD Smart Form.
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.
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.
Provides patient education regarding OHSU financial assistance, insurance coordination of benefits, Patient Rights, Terms & Conditions, Advance Directives, Medicare Secondary Payer Questionnaire, Medicare and Commercial notices of Non-Covered services (ABN or NCCF), Important Message from Medicare, Release of Information, Special Consent, Champus Message to patients and their representatives, Notice of Privacy Practices, use of patient information and/or specimens in OHSU research, and other facility or regulatory documents.
Obtains signatures and enters into computer all facility and regulatory required data and forms.
Responsible for all identity management corrections after hours.
Identifies and collects co-pays, deductible payments, deposits, and prepayments for services as required.
Creates and assembles surgical patient intake form packets for the surgical floors.
Determines urgent/emergent medical situations and activates rapid response team or engages the assistance of nursing staff.
Gathers, adds, updates, and/or verifies patient information including detailed demographics, detailed insurance coverage/benefits, MyChart enrollment, and financial status.
Creates new and maintains existing insurance coverages/guarantors for a patient based on their insurances and the care being provided.
Obtains benefit information including deductible or co-pays, co-insurance, stoploss or out of pocket status, and correct billing address.
Completes insurance verification on each patient’s insurance 100% of the time when the insurance verification status requires it, using electronic verification in RTE, payer portals, or other required methods.
Re-verifies 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.
Maintains knowledge pertaining to insurance issues which include but are not limited to motor vehicle, Worker’s Compensation, personal injuries, Medicare, OHP/Washington Welfare/Medicaid, and exposures.
Performs other duties as assigned.