PAS Specialist at Oregon Health & Science University

Hillsboro, Oregon, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jul, 26

Salary

33.26

Posted On

24 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient scheduling, Insurance verification, Medical records management, Customer service, Data entry, Financial eligibility screening, Authorization management, Communication skills, Microsoft Suite, Problem solving, Negotiation, Attention to detail, Crisis management, Process improvement, Time management

Industry

Higher Education

Description

Department Overview OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state. The PAS Specialist gathers and records required information about patients; provides specific customer services which include screening for financial eligibility, confirming health insurance coverage and individual’s obligations, obtaining necessary authorizations for care, scheduling appointments, and assisting patients in a clinic setting. A PAS Specialist provides guidance and leadership to other PAS positions. Function/Duties of Position Arranged Care. Schedules new patient appointments on line and manually if necessary. Obtains prior medical records and studies if appropriate. Creates a medical record if needed. Arranges stretchers, wheelchairs, and interpreters when necessary, and accommodates other special needs whenever possible. Mails information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments. Customer Service. Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills. Enrollment & Authorization. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures, and laboratory studies. Enters all information accurately into OHSU databases or into the medical record when necessary. Follows up on pending authorizations until they are obtained. Point of Service Operations. Greets patients and confirms that an appointment has been kept. Inspects insurance cards and/or authorization notices. Identifies and collects deductible payments, co-payments, and deposits on services; provides receipts and completes necessary accounting procedures. Verifies and updates the common data set on-line. Explains and satisfies any necessary patient signature requirements. Validates parking. Integrated Care. Arranges and orders associated clinical, diagnostic, or laboratory services; obtains authorizations when necessary. Directs patients to appropriate providers for other health care issues. Completes and routes direct referrals to other clinical services. Contacts primary care physicians or their designees to obtain authorizations for urgent care. Schedules return appointments online, and manually if necessary, initiates authorization requests for subsequent care. Other Duties as Assigned Required Qualifications Six months of work experience in a medical office setting, including high volume direct patient contact OR One year of work experience in a high-volume direct public contact position Note: Successful completion of a formal OHSU Administrative Internship Program will substitute for one year of experience. Knowledge and Skills Required: Basic computer keyboarding skills including typing of 30 - 45 wpm. Demonstrated evidence of strong written and verbal communication skills Ability to manage competing priorities · Proficient in Microsoft Suite applications Ability to work independently and meet deadlines Extremely high level of attention to detail Excellent customer service skills Preferred Qualifications AA/AS degree Scheduling and/or Administrative Assistant experience Project coordination/management Obtaining insurance authorizations Record of meeting deadlines, including urgent patient and system needs Experience creating detailed reports Demonstrated problem solving and negotiation skills in resolving patient concerns, scheduling challenges and managed care related problems. Experience in hospital or clinic Experience with data collection from insurance companies Epic Scheduling Oracle Kronos experience Cloud based storage applications Knowledge of managed care Additional Details Locations will be predominantly at Tanasbourne Sleep Clinic with occasional need to cross-cover Marquam Hill Sleep Clinic. Hours are as follows: Monday- Friday 7:45AM-4:45PM with 1 hour lunch Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu

Responsibilities

The PAS Specialist is responsible for gathering patient information, verifying insurance coverage, and obtaining necessary authorizations for clinical care. They also manage patient scheduling, maintain medical records, and provide high-quality customer service to patients and providers.