Financial Interviewer PAS Revenue Cycle Specialist

The purpose of the Financial Interviewer is to support Oregon Health Sciences Universitys mission by providing exemplary service to all patients patientfamilies visitors and staff who present to any area of Patient Access Services Department in person via telephoneor over electronic communication. To greet interview register and preregister patients scheduled for hospitaladmission. The purpose of this position is to collect and record accurate and complete required demographicinsurance and financial information for patients receiving outpatient services. This includes financial screeningservices checking insurance eligibility confirming health insurance coverage and entering REALD (Race EthnicityLanguage and Disability). Performs employee requirements as outlined in Compliance Roles and ResponsibilitiesCode of Conduct and Respect at the University for OHSU Hospital and Clinics.

PATIENT REGISTRATION:

• 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 forpatients 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.
• Follows Oregon Administrative Rules (OARs) regarding workers compensation in operation of OHSU and industry workmans compensation procedures.
• Initiates and completes claim info for workers compensation injuries personal injury motor vehicle accidents and crime victim accounts.
• Provides patient education regarding OHSU financial assistance insurancecoordination of benefits Patient Rights Medicare Secondary Payer Questionnaire
• Notice of Privacy Practices use of patient information and/or specimens in OHSUresearch and other facility or regulatory information.
• Provide financial screening for low income or nonsponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU FinancialAssistance when appropriate.
• PreRegistration: Gathers adds updates and/or verifies detailed demographic information including REALD and support persons prior to admission by calling thepatient at home. Searching for patient information in a number of online databasesincluding EPIC.
• Follow and complete daily task list as assigned by management.
• Provide financial screening for low income or nonsponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate.

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 patients insurance using electronic verification in RTE payer portals or other required methods. The PAS Revenue CycleSpecialist staff will also reverify the eligibility insurance information if the insurancewas not verified in the current month.
• Reviews MMIS for all uninsured or single coverage patients
• Provide financial screening for low income or nonsponsered patients and refer patients to apply for Oregon or Washington Medicaid or OHSU Financial Assistance when appropriate. Works closely with Patient Financial Services on referrals or questions.
• Maintain knowledge of current insurance plans along with the Epic plan distinction and current eligibility verification process.
• Maintain access to all insurance website by signing in one time per month at minimum.

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 furthercommunication breakdowns.
• Demonstrates respect and cooperation in all staff relationships with a genuine willingness to prevent or resolve interpersonal conflicts.
• Answers multiline telephone inquiries. Determine caller needs and assist callers efficiently and appropriately.
• Determine priorities and act quickly make decisions efficiently and in a calm manner in emergency and stressful situations.
• Utilizes appropriate interpreter services when necessary.

Other Duties as Assigned

• High School diploma or equivalentAND
• One year of experience in a medical office setting including highvolume direct patient contact scheduling of appointments and registration and/or billing responsibilities. OR
• Two years of work experience in a highvolume direct public contact frontline nonhealthcare 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.

• Thorough knowledge with insurance eligibility and healthcare registration
• Thorough knowledge of insurance and financial policies.
• Thorough knowledge of PAS policy and procedures.
• Spanish preferred
• OHSU experience.
• Demonstrated efficiency and problem solving in resolving patient concerns.
• Strong attention to detail and processes.
• Ability to work with a high level of accuracy speed multitask and prioritize in high stress/high volume environments with little direct supervision.
• Demonstrated record of reliable attendance punctuality and proven successful performance at past and present employers.
• Demonstrated effective interpersonal skills which promote cooperation and team work.

Remote option available for most positions.

Hours of Work: M9:30am to 6pm. Registration is open Monday through Friday 7:30am to 8:00pm and Saturday and Sunday8:00am to 8:00pm. Registration is also open holidays varying hours depending on clinic support needs. Position may requirework on weekends and holidays depending on department need. Temperatures onsite can vary and staff should be preparedto layer to accommodate for personal comfort.