The purpose of this position is to collect and record accurate and complete required demographic, insurance, and financial information for patients receiving outpatient services. This includes financial screening services, checking insurance eligibility, confirming health insurance coverage, scheduling appointments, and assisting patients in an office orclinic setting.
This position is within the Ambulatory Float Pool and requires flexibility to be willing to work in a variety of clinics and locations with little or no advance notice of assignment. The person in this position must be able to work at multiple locations (all ambulatory clinics in the Tri-County area) over the course of the typical work week and possibly the same day, providing own transportation.
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.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:
Schedules new patient appointments on line and manually if necessary. 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 information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments.Integrated Care:
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. Schedules return appointments on line, and manually if necessary; initiates authorization requests for subsequent care.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 application of process improvement methods and skills. Required Qualifications Six months of work experience in a medical office setting, including high volume direct patient contact OR One year of work experience in a high volume direct public contact position.Note: Successful completion of a formal OHSU Administrative Internship Program will substitute for one year of experience.Knowledge and Skills Required:
Basic computer keyboarding skills including typing of 30 - 45 wpm. Able to demonstrable record of reliable attendance, exemplary customer contact skills, punctuality, and proven successful performance at most recent past and present employers. Good grammarMust be able to perform the essential functions of the position with or without accommodation.
Preferred Qualifications High School Diploma or equivalency10 Key by Touch Additional DetailsHours of work: Varied hours and could include occassional weekends.
This position requires continuous use of hands to enter data using a computer keyboard and mouse. It also requires use of a telephone headset for call answering.
All are welcome 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 503-494-5148 or aaeo@ohsu.edu.