PAS Resource Specialist

Oregon Health & Science University•Portland, OR

3d•Hybrid

About The Position

This position is an integral part of the Division of Surgical Oncology. This position directly supports the Department objectives of Clinical Care, Quality Assurance, Education and Research. This position is responsible for the access management of new patients, by gathering and recording information about patients; providing specific customer services which include screening for financial eligibility, confirming health insurance coverage and obligations, obtaining necessary authorizations for care, scheduling surgery, appointment scheduling and assisting patients, through direct patient contact or over the phone, in the office or clinical setting. This position provides broad administrative and communications support for faculty of the Division of Surgical Oncology. Function/Duties of Position Customer Service: Provide highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) 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. New Visit Coordination: Receive incoming internal and external referrals, determine appropriateness of referral and provider assignment. Request and collect all outside records, initiate EARL shell for external referrals, update EARL status appropriately based on scheduling and referral status to meet the ASA benchmarks. Communicate with patient and referring provider office about insurance barriers and possible out of pocket expenses at the time of consult. Escalate medical records for medical review when necessary. Connect uninsured patients to Financial Assistance program where appropriate. Monitor medicaid and uninsured access. Enrollment & Authorization: Gathers/verifies patient and guarantor information including demographics, insurance coverage, and financial status and communicates with patients frequently regarding pending authorizations as notified by the MCC DoS team. Arranged Care: Schedule returning patients for both surgical and clinical appointments via EPIC Cadence/Inbasket. Arranges wheelchairs, interpreters when necessary and accommodates other special needs whenever possible. Prepares and mails/email information packets to patients. Notifies patients of appointments via telephone/mail and provides detail instruction on how to conduct Virtual Telehealth visits. Assist RN team with FMLA paperwork as well as medication authorizations. Telecommunications: Triages all incoming telephone calls and routes callers to appropriate provider, staff or source; accurately documents and relays any messages; processes any requests for medication refills as directed by provider; directs calls of complaint, requests for information, urgent health cares concerns and general inquiries to appropriate source. Surgery Managed care and Surgery scheduling. Confirm surgery benefit and obtain authorization for surgery and procedures in clinic. Work with Surgery Program Coordinator to schedule port cases and other surgeries as determined by Surgery Program Coordinator. Administrative Duties: Medical Record and Image scanning, LEAN process improvement work.

Requirements

One year of experience in a medical office setting, including high-volume 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.
Basic computer skills including word processing.
Windows applications, on-line scheduling, and a preference for data-base skills.
Excellent verbal and written communications skills.
Strong customer service orientation.
Demonstrated effectiveness in confrontational customer interactions.

Nice To Haves

Bachelors
Six months in an oncology, surgery or surgical oncology practice.
Experience with surgery scheduling

Responsibilities

Provide highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry.
Receive incoming internal and external referrals, determine appropriateness of referral and provider assignment.
Request and collect all outside records, initiate EARL shell for external referrals, update EARL status appropriately based on scheduling and referral status to meet the ASA benchmarks.
Communicate with patient and referring provider office about insurance barriers and possible out of pocket expenses at the time of consult.
Escalate medical records for medical review when necessary.
Connect uninsured patients to Financial Assistance program where appropriate.
Monitor medicaid and uninsured access.
Gathers/verifies patient and guarantor information including demographics, insurance coverage, and financial status and communicates with patients frequently regarding pending authorizations as notified by the MCC DoS team.
Schedule returning patients for both surgical and clinical appointments via EPIC Cadence/Inbasket.
Arranges wheelchairs, interpreters when necessary and accommodates other special needs whenever possible.
Prepares and mails/email information packets to patients.
Notifies patients of appointments via telephone/mail and provides detail instruction on how to conduct Virtual Telehealth visits.
Assist RN team with FMLA paperwork as well as medication authorizations.
Triages all incoming telephone calls and routes callers to appropriate provider, staff or source; accurately documents and relays any messages; processes any requests for medication refills as directed by provider; directs calls of complaint, requests for information, urgent health cares concerns and general inquiries to appropriate source.
Confirm surgery benefit and obtain authorization for surgery and procedures in clinic.
Work with Surgery Program Coordinator to schedule port cases and other surgeries as determined by Surgery Program Coordinator.
Medical Record and Image scanning, LEAN process improvement work.