Financial Screening Specialist (PAS Resource Specialist)
Financial Screening Specialist (PAS Resource Specialist)
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Department Overview
OHSU is Oregons 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 Portlands 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 purpose of this position is to complete presumptive financial screening for patients who meet criteria as
outlined in current regulations. Additionally this position will assist with financial allowance applications and
the required supporting documents submitted by patients who are requesting financial assistance. This position
will review automatic financial assistance information to determine whether approval can be granted in lieu of
a completed paper application. This position determines approval status and if approved what percentage of
financial assistance will be granted to the patient. This position also provides support for patients requiring
assistance in the application process.
Function/Duties of Position
Reviews applicable patient records for presumptive financial assistancewhich includes potential coverage discover review of financial assistanceapprovals in other service areas applicable notes from other PatientFinancial Services staff.
For those patients who need to proceed with screening outreach to thepatient by phone and potentially electronically or by postal mail.
Completes high level financial screening using current policy to determinehousehold size and income.
Completes high level Medicaid screening to determine if potential Medicaidreferral may be warranted.
Based on result of presumptive financial screening applies presumptivedetermination status to the patient record.
Complete PFS patient work queues. These include reverification of SMF/SMB benefits for patients and adding financial assistance approvals to other service areas.
Reviews financial assistance application and attached documentationsubmitted by patients to determine that all required information is providedand is completed properly. For any incomplete applications returns with
letter of explanation outlining incomplete information or lackingverification documents. Requests and reviews additional documentation offinancial information regarding ability to pay eligibility or financialallowances. Provides information clarification and interpretation offinancial policy and procedure to assist patients in completing the financialapplication and understanding the basis for decisions made. Analyzesapplications with regarding to supportive documentation residency rulesaccount history and determines action based on departmental guidelines inconjunction with income include and exclusion criteria.
Reviews financial screening information to determine if patient can beapproved for financial assistance in lieu of completing a financial assistanceapplication.
- Assigns liability percent based on assessment and documents on the registration computer system for OHSU Health services. Mails a letter of approval with financial allowance information to the applicant or mails a letter of denial of allowance if patient did not qualify for financial allowance.
- Refers those patients who show potential eligibility for Oregon Health Plan or Washington Apple Health to contact internal Medicaid Specialists to assist with the application process.
- Assures that the financial application verification documents Liability Worksheet Document Worksheet and patient letters have been scanned into the document imaging system.
- Maintains a database of the information and disposes of originals using the confidential recycling bin.
- Provide financial screening for low income or nonsponsored patients
Customer Service.
- Provide high quality customer service to both external and internalcustomers that meets or exceeds the service standards of the healthcareindustry. Demonstrates the ability to communicate effective timely andrespectively at all times. Assist in maintaining an atmosphere of cooperationwithin the department as well as with other departments.
Demonstrate respect and cooperation in all staff relationships and genuine willingness toprevent or resolve interpersonal conflicts. Must demonstrate superiorcustomer contact skills remain clam and resourceful during crisismanagement or other difficult situations and manage standard complaintprocessing. Demonstrates flexible coverage of internal service to learn and maintain continuous application of processimprovement methods and skill with available information technology. Remain current with changes to departmental procedures and latest information.
Registration
- Verify patient eligibility for Medicaid coverage and enter appropriateinsurance plan information accurately.
- Obtain any updated insurance information from patient outreach and updateguarantor appropriately
- Update demographic information as needed
Other Duties as Assigned
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 (dependent on position description). 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
- High School Diploma or equivalent
- Minimum of six months experience as a registrar at OHSU and be able to demonstrate an accuracy rate of 98% or greater. As a registrar must be meeting/exceeding all other individual performance standards in a sustained manner.
- Knowledge of Medicaid Eligibility guidelines.
- OHSU experience.
- Strong attention to detail and processes.
- Ability to work with a high level of accuracy speed multitask and prioritize.
- Demonstrated record of reliable attendance punctuality and proven successful performance at past and present employers.
- Demonstrated effective interpersonal skills which promote cooperation and teamwork.
Additional Details
Hours of work: Monday through Friday from 8:00 a.m. to 4:30 p.m.
Location: Hybrid work when on site Fifth Avenue Building downtown.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
