Posted in Other about 3 hours ago.
Location: Portland, Oregon
Receive patients arriving for appointments and assisting in patient flow throughout the clinic visit. Maintaining a clean, safe and orderly environment in the waiting area for patients, family and clinic personnel. This includes, but not limited to, keeping the waiting area free of litter and obstacles, keeping magazine subscriptions current and tidy, maintaining supplies and necessary clinic forms.
POINT OF SERVICE OPERATIONS: Greets patients and confirms that an appointment has been kept. Inspects insurance cards and/or authorization notices. Identifies and collects deductible payments, co-payments, and deposits on services; provides receipts and completes necessary accounting procedures. Verifies and updates the common data set on-line. Explains and satisfies any necessary patient signature requirements.
Perform cash handling and billing duties in a timely and thorough manner. Duties include, but not limited to: educating patients on related billing issues as appropriate, collecting co-payments and past due balances when indicated; providing patients with appropriate receipts per CEI procedures; performing end of day duties following CEI protocol and guidelines (batching out cash/checks/credit card, and checking encounters for missing information, and giving appropriate documentation to designated area for posting); reconciling cash receipts per CEI policy and maintaining front office cash drawer as appropriate.
Assist in training other PAS who are assigned to assist in clinic for coverage. Update division SOP’s.
ARRANGED CARE: Schedules new and return patient appointments. Obtains prior medical records and studies if appropriate. Creates a medical record, if needed. Arranges stretchers, wheelchairs, and interpreters when necessary, and accommodates other special needs whenever possible. Mails new patient information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments.
TELECOMMUNICATIONS: Triages and documents accurately telephone calls from patients including requests for medication refills, complaints, general information inquiries, and urgent health care concerns. Delivers such information or requests promptly to the appropriate providers or their designees. Supports clinic phones during business hours, check and responds to voicemail messages within a timely manner, and serves as backup support for the Uveitis and Inflammatory Diseases clinical phone support.
CUSTOMER SERVICE: Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) 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 applications of process improvement methods and skills.
ENROLLMENT & AUTHORIZATION. Maintains current information on managed care insurance plans and serves as a liaison and information resource for physicians, support staff, referring physician offices, OHSU Health Plan Office, patients, and insurance companies regarding authorization requirements per diagnosis and service. 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. Obtain authorizations for clinical care, diagnostics, procedures, and facility charges. Enter all information accurately into OHSU databases or into the medical record when necessary. Follow up on pending authorizations. Applies problem solving and negotiating skills in resolving patient concerns and managed care related problems.
Arranges and orders associated clinical, diagnostic, or laboratory services; obtains authorizations when necessary. Directs patients to appropriate providers for other health care issues. Completes and routes direct referrals to other clinical services. Contacts primary care physicians or their designees to obtain authorizations for urgent care. Initiates authorization requests for subsequent care.
Other administrative duties assigned by the manager.
Monitor and work the following work queues by OHSU set standards:
Provides back-up administrative support to the other CEI divisions. This includes, but is not limited to: attending educational in-services and staff meetings, communicates additional training needs to direct supervisor, cross-trains for position in assigned or other division areas, when necessary. Maintains core competencies and demonstrates continuous applications of these skills throughout the time of employment.
Training and Competency: Successfully completes the required PAS initial training and core competency assessment before or during the trial service period. Completes all required update modules. Maintain core competencies, and demonstrate continuous application of these skills throughout the period of employment.
Other duties as determined by manager
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.
Knowledge and Skills Required:
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.
Opthalmology experience stronlgy preferred.
Work experience in a medical office environment, including high volume direct patient contact strongly preferred.
Preferred experience in university network computer applications using Windows, EPIC and associated applications.
PI255525429
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