PAS Resource Specialist

PAS Resource Specialist

US-OR-Tualatin

Requisition :

Position Category: Hospital/Clinic Support

Job Type: AFSCME union represented

Position Type: Regular Full-Time

Posting Department: Community Hematology/Oncology

Posting Salary Range: $25.86 - $34.95 per hour

Posting FTE: 1.00

Posting

Schedule:

Monday
-Friday with possibility of weekends

Posting

Hours:

8:30am - 5:00pm

HR Mission: Healthcare

Drug Testable: No

The Patient Access Resource Specialist (PASR) gathers and records required information about patients, provides customer services which includes confirming health insurance coverage, determining individual financial obligations, verifying that necessary authorizations for care have been obtained, scheduling physician office appointments, cancer treatment appointments, and ancillary appointments, and assisting patients in an office or practice setting. This position may be responsible for scheduling a high volume of complicated patient procedures and clinic appointments.

This position will serve as a liaison and information resources for physicians, nursing, other support staff and coworkers, referring physician offices, patients, and insurance companies. This role will be required to answer incoming calls to the clinic, to schedule, transfer, or triage to a clinical team. This role will have responsibility to convey detailed, complicated information to patients and answer any patient questions or concerns within scope.

Works closely with other clinics and treatment units for appointment coordination. Works reschedule and wait lists when necessary;
Prepare and mail, fax, or email new patient information packets when necessary;
Direct patients to appropriate providers for other health care issues;
Complete and route direct referrals to other clinical services;
Respond to patient messages in a variety of formats, including phone and electronic;
Enter patient information accurately into the electronic medical record when necessary.

• Enrollment & Authorization
  . Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures, and laboratory studies. Enters all information accurately into OHSU databases or into the medical record when necessary. Follows up on pending authorizations until they are obtained.
• Arranged Care
  . Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments as directed by physician and/or nurse staff;
  Uses EMR and other systems as needed for scheduling. Creates a medical record if needed. Provides personal reminders to patients about upcoming appointments. Serves as a liaison and information resource for physicians, and nursing support staff;
  Return patients messages (phone and/or electronic);
  Prepare and mail patient information packets;
  Direct patients to appropriate providers for other health care issues;
  Complete and route direct referrals to other clinical services;
  Enter patient information accurately into the electronic medical record when necessary. Maintains a service-based working knowledge of oncology practice. Obtains prior medical records and studies if appropriate. Arranges for wheelchairs, interpreters, or other assistive devices as necessary to support safe, high-quality care. Other duties as assigned.
• Customer Service / Point of Service Operations
  . Provide the 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 meet or exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, exemplary phone etiquette, face-to-face customer contact skills, high emotional intelligence including during stressful situations, utilization of available information technology, consistently following standard work, flexible coverage of internal service needs and the continuous application of process improvement methods and skills.
  
  Greets patients and, where appropriate, checks them in prior to being seen by clinical staff. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required. Ensures that all appointment comment information is accurate and complete. Enters all information accurately into OHSU databases or into the medical record when necessary.
  
  Inspects insurance cards and/or authorization notices. Explains and satisfies any necessary patient signature requirements (including non-covered service forms). Identifies and collects co-payments, provides receipts, and completes necessary accounting procedures as needed. Notifies clinical…