PAS Revenue Cycle Specialist - Portland, United States - OHSU

Description

Department Overview

OHSU is Oregon's 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 Portland's 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.

As the PAS Revenue Cycle Specialist you will support Oregon Health Sciences University's mission by providing exemplary service to all patients, patient families, visitors, and staff who present to any area of Patient Access Services Department in person, via telephone, or over electronic communication.

You will greet, interview, register, and pre-register patients scheduled for hospital admission. You will create reservations for day patient and Inpatient admissions and complete Inter-Hospital transfers.

Obtain and records demographic and insurance data to ensure accurate patient identification to facilitate payment and compliance with all regulatory requirements.

Perform employee requirements as outlined in Compliance Roles and Responsibilities, Code of Conduct and Respect at the University for OHSU Hospital and Clinics.

Schedule to be determained at time of Interview. Multiple Positions Available

Function/Duties of Position

This is an In-person Position NOT available for remote work.


Customer Care:

• Provides high quality customer service to both external and internal customers that meets or exceeds the service standards of the health care industry.
• Demonstrates knowledge of all department, locations, units, and buildings on OHSU campus.
• Promptly greet all patient and visitors in a warm professional manner whether face to face or over the phone. This includes providing directions and screening all patients and visitors.
• Determine customer needs proactively and direct inquires to appropriate resources.
• Provide crisis management and conflict resolution as issues arise whether internal or external.

Arrange Care:

• Functions as a liaison for families during complicated cases by working with the clinical team, social worker, and case managers.
• Arranges any and all accommodations needed to provide the best experience to all our customers. This includes mobility equipment (wheelchairs, stretchers, Etc.), interpreter services, and identifies support services for individuals with disabilities, when necessary, in compliance with State regulations.
• Mails information packets.

Enrollment & Financial Services:

• Maintains current information on managed care insurance plans and serves as a liaison and information resource for patients, referring physician offices, and other OHSU staff.

This includes but not limited to:
Providing patient education regarding OHSU financial assistance, insurance coordination of benefits, and other facility or regulatory documents.

• Maintain knowledge pertaining to insurance issues which include but are not limited to motor vehicle, Worker's Compensation, personal injuries, Medicare, OHP/Washington Welfare/Medicaid, and exposures.
• Creates new and maintains existing insurance coverages/guarantors for a patient based on their insurances and the care being provided.
• Obtains benefit information including deductible or co-pays, co-insurance, stop loss or out of pocket status, and correct billing address. Collects cost-shares at time of service.
• Complete insurance verification on each patient's insurance 100% of the time.
• Gathers, adds, updates, and/or verifies detailed demographic information and completed/signed forms required for services. These functions are performed at stationary computer terminalor or at patient's bedside using a mobile computer terminal, occasionally over the phone.
• Completes Race, Ethnicity, Language, and Disability (REALD) questionnaire with patient face to face or over the phone and updates REALD Smart Form as required by law.
• Follows Oregon Administrative Rules (OAR's) regarding workers' compensation in operation of OHSU and industry workman's compensation procedures. Also initiates and completes claims for worker's compensation injuries, personal injury, motor vehicle accidents, and crime victim accounts by collecting detailed information of trauma admissions (motor vehicle accident, personal injury, and/or worker's compensation) to determine accident-related liability.

Authorization & Registration Services:

• Validates appropriate admitting locations by procedure and admitting provider to ensure appropriate patient placement.
• Accurately complete Inter-Hospital Transfers and same-day admissions and obtain prior medical records as needed.
• Activates direct admissions based on notification from unit at time of patient's arrival.
• Ensures all required forms are completed for services and confirmation of payment sources.

Training:

• Successfully complete the required PAS Specialist and PAS Revenue Cycle Specialist initial training and core competency assessment during the initial probationary period. Maintains core competencies, and demonstrates continuous application of these skills throughout the period of employment.
• Gives instruction to other PAS Revenue Cycle Specialist personnel pertaining to PAS Revenue Cycle Specialist processes and procedures as well as performance. Provides on the job training, orientation, guidance and coaching for new PAS Revenue Cycle Specialist personnel in the service area as assigned. May be required to provide informational assessment of other PAS Revenue Cycle Specialist workers' performance to the PAS Coordinator/Supervisor and/or the employment supervisor
• Required to maintain Patient Access Services Individual Performance Standards.

Daily Office Tasks:

• Troubleshoots equipment problems and initiates repairs requests once reviewed with leadership.
• Ensures Patient Access Services Department Coordinator is aware of low forms/supply levels.
• Provide coverage in other admitting areas and the Emergency Department when needed.
• Follow and complete daily task list as assigned by management.

Required Qualifications

• High School diploma or equivalent AND
• One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and registration and/or billing responsibilities. OR
• Two years of work experience in a high-volume direct public contact, front-line non-healthcare 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.
• Must be able to perform the essential functions of the position with or without accommodation.

Additional Details


Benefits:

• 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)
• Weekend and night shift may be eligible for differential pay.

Pay Range:
$ $33.28 per hour