PAS Resource Specialist
PAS Resource Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Department Overview
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 schedulingphysician office appointments cancer treatment appointments and ancillary appointments and assistingpatients 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 other support staff and coworkers referring physician offices patients and insurance companies. This role will be
required to answer incoming calls to the clinic to schedule transfer or triage to a clinical team.
This role will have responsibility to convey detailed complicated information to patients and answer anypatient questions or concerns within scope. Works closely with other clinics and treatment units forappointment coordination. Works reschedule and wait lists when necessary; Prepare and mail fax or emailnew patient information packets when necessary; Direct patients to appropriate providers for other healthcare issues; Complete and route direct referrals to other clinical services; Respond to patient messages in avariety of formats including phone and electronic; Enter patient information accurately into the electronicmedical record when necessary.
We are located in downtown Portland on the Legacy Good Samaritan campus. Parking is free.
Function/Duties of Position
Managed Care Coordination:
- Maintains current information on managed care insurance plans and serves as a liaison and information resources for physicians nursing support staff and coworkers referring physician offices OHSU Health Plan Office patients and insurance companies on authorization requirements per diagnosis and service. Serves as service area expert on ICD9 coding requirements and issues.
- Obtains managed care authorizations for all consultations procedures office visits and care arrangements by scheduling appointments and contacting other ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving patient concerns and managed care related problems.
Customer Service / Point of Service Operations:
- Provide the highest level of customer service to both external customers (patients and their families referring providers insurance carriers etc. and internal customers (OHSUhealth care providers and staff) that meet or exceed the service standardsof the health care industry.
- This duty includes prompt and professionalcommunication efforts exemplary phone etiquette facetoface customercontact skills high emotional intelligence including during stressfulsituations utilization of available information technology consistentlyfollowing standard work flexible coverage of internal service needs andthe continuous application of process improvement methods and skills.
- Greets patients and where appropriate checks them in prior to being seen by clinical staff. Gathers and/or verifies patient information including demographics insurance coverage and financial status. Checks patient account numbers and corrects any problems seeking advice from Central Registration as required. Ensures that all appointment comment information is accurate and complete. Enters all information accurately into OHSU databases or into the medical record when necessary. Inspects insurance cards and/or authorization notices.
- Explains and satisfies any necessary patient signature requirements (including noncovered service forms). Identifies and collects copayments provides receipts and completes necessary accounting procedures as needed. Notifies clinical staff when patients arrive monitors the length of patient wait times and intervene as necessary. Distributes medication lists to patients andprepares other duties associated to clinic as needed. Validates parking as needed.
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 carearrangements. Obtains authorizations for clinical care procedures andlaboratory studies. Enters all information accurately into OHSU databasesor into the medical record when necessary. Follows up on pendingauthorizations until they are obtained.
Required Qualifications
- One year of experience in a medical office setting including highvolume direct patient contact scheduling of appointments and may require experience obtaining managed care authorizations. OR
- One and a half years of work experience in a high volume direct public contact position and 6 months experience in a medical office setting.
- The candidate must have a thorough knowledge of PAS policies and procedures.
- Candidates will have demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU.
Knowledge and Skills Required:
- Basic computer skills including word processing.
- Windows applications online scheduling and a preference for database skills.
- Excellent verbal and written communications skills.
- Strong customer service orientation.
- Demonstrated effectiveness in confrontational customer interactions.
Preferred Qualifications
HS Diploma or advanced degree preferred.
Experience in a medical and/or oncology office setting.
Knowledge of Epic systems.
Knowledge of OHSU network systems including Outlook and Microsoft Office products.
Knowledge of iQueue.
Additional Details
Clinic operating hours. Occasional extended hours to include but not limited to evenings weekends and/or
holidays may be occasionally required. Employee must have vehicle in order to travel between sites within
the Community Hematology Oncology Unit.
All are welcome
Required Experience:
Unclear Seniority
Employment Type
Part-Time
