PAS Revenue Cycle Specialist - Relief

Department Overview

The purpose of this position is to greet and "arrive" patients presenting to the Emergency department, interview patients to obtain demographic, accident, and financial information in order to facilitate patient care and support front end billing activities. This position supports Oregon Health & Sciences University's mission by providing excellent customer service to every patient, patient families, visitors, and staff who present to any area of the Patient Access Services Department, either in person, via telephone, or over electronic communications.

• Perform established patient search methods for medical record number in computer database.
• Properly identify and arrive patients that arrive in the ED whether it is a walk in or by ambulance.
• Gathers, adds, updates, and/or verifies detailed demographic information and completed/signed forms required for services. These functions are performed at stationary computer terminals or at patient’s bedside using a mobile computer terminal, occasionally over the phone. Hand written documentation may only be utilized during computer downtime or device malfunction.
• 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. Serves as liaison for patients and families with questions.
• Satisfies state regulations to identify support persons for individuals with disabilities.
• Corrects patient identity inaccuracies, as identified.
• 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.
• Follows Oregon Administrative Rules (OAR’s) regarding workers’ compensation in operation of OHSU and industry workman’s compensation procedures. Provides timely follow up for completion of workman’s compensation “827” and DOLI form for work related injuries.
• Initiates and completes claims for worker’s compensation injuries, motor vehicle accidents, and crime victim accounts.
• Provides patient education regarding OHSU financial assistance, insurance coordination of benefits, Patient Rights, Terms & Conditions, Advance Directives, Medicare Secondary Payer Questionnaire, Important Message from Medicare, Medicare Outpatient Observation Notice, Champus Message to patients and their representatives, Notice of Privacy Practices, use of patient information and/or specimens in OHSU research, and other facility or regulatory documents.
• Obtains signatures and enters into computer all facility and regulatory required data and forms. Reviews all for accuracy.
• Collect Co-pays/Deposits as required.
• Provides receipts and completes necessary accounting procedures including reconciliation and deposit of funds.
• Determines urgent/emergent medical situations and activates rapid response team or engages the assistance of nursing staff to assist.
• Manage patient valuables process.
• Required to maintain Patient Access Services Individual Performance Standards.

• Gathers, adds, updates, and/or verifies detailed insurance coverage and financial status with each patient over the phone or face to face.
• 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, stoploss or out of pocket status, and correct billing address.
• Complete insurance verification on each patient’s insurance 100% of the time when the insurance verification status says New, Elapsed, Incomplete, Needs Review, or is Medicaid, using electronic verification in RTE, payer portals, or other required methods. The Patient Access Service Staff will also re-verify the eligibility insurance information if the insurance was not verified in the current month.
• Reviews MMIS for all uninsured or single coverage patients
• Refers all non-sponsored patients to Oregon Health Plan (OHP) and provides information for financial assistance, working closely with Financial and…