- Maintains current information on managed care insurance plans and serves as a liaison and information resources for physicians, nursing support staff, PAS specialists, referring physician offices, patients, Hospital Operations Support and others on authorization requirements; serves as a service area resource ICD9 coding requirements; obtains managed care authorizations for consultations, procedures, office visits, care arrangements, and contact other ancillary and clinical services as needed; problem solves and negotiates skills in resolving patient concerns and managed care related problems.
- Schedules multifaceted patient appointments on line, and manually if necessary in all modalities of Diagnostic Imaging Services. Maintains current information regarding schedules for resources and providers. Serves as liaison and information resource for physicians, nursing support staff, coworkers, IP Admitting Department, Surgery Office, and Periop Services. Collects from physician and clinics all information necessary order information to schedule a scan (including ICD9 codes, diagnosis, equipment needs, etc.). Facilitates care arrangements by scheduling IRU time, preops, PAT clinic, ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving provider and patient concerns and other imaging related problems.
- Provide high quality customer service to both external customers (patients, referring providers, clinics, insurance carriers) and internal customers (OHSU health care providers, staff) that exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face and telephone customer contact skills, crisis management, familiarity with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills.
- Gather and/or verify patient information including demographics, insurance coverage, and financial status. Confirm patient eligibility for health care coverage and clarify any managed care arrangements. Verify appropriate accounts are active and associated with services to be received. Confirm authorizations for imaging procedures. Enter all information accurately into OHSU databases or into the medical record when necessary. Follow up on pending authorizations until they are obtained.
- One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and requires 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.
- 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.
- Must be able to perform the essential functions of the position with or without accommodation.
- Associates degree.
- 2+ years in a medical office setting.
- Experience in a radiology office setting strongly preferred.
- Database skills.
- RIS, EPIC systems.
- Radiology specific medical terminology.
- Must be able to work independently from home or in the office.
- Ability to concentrate in a busy, fast paced, noisy office.
- Two raises per year - One at anniversary date and one across the board annual increase
- Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
- Two separate above market pension plans to choose from
- Vacation- up to 200 hours per year depending on length of service
- Sick Leave- up to 96 hours per year
- 8 paid holidays per year
- Substantial Tri-met and C-Tran discounts
- Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP)
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PAS Resource Specialist - Portland, United States - OHSU
Description
Department OverviewThe function of the PAS Resource Specialist - Scheduling position within Diagnostic Imaging Services is to
provide essential customer service support and guidance to clinics and patients in the areas of financial
screening, patient eligibility for services, managed care, and complex patient referrals. The PAS Resource
Specialist completes multifaceted, radiology specific, scheduling tasks, with the purpose of assisting,
scheduling, and coordinating patient diagnostic imaging appointments in EPIC and RIS. The employee in this
position promotes OHSU's mission statement by delivering high quality, cost effective, family-oriented
service excellence. This position helps to create a collaborative environment by integrating education,
research, and clinical leadership.
Function/Duties of Position
Managed Care Coordination:
Radiology/Surgery Scheduling:
Customer Service:
Enrollment & Authorization:
Knowledge and Skills Required:
Benefits:
Oregon Health & Science University values a diverse and culturally competent workforce.
We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at or#J-18808-Ljbffr
