Edtech.com's Summary

Oregon Health & Science University is hiring a Financial Screening Specialist (PAS Resource Specialist). The role involves conducting presumptive financial screenings for patients, assisting with financial assistance applications, determining eligibility and approval percentages, and supporting patients through the application process.

Highlights

Complete presumptive financial screenings and Medicaid referrals for patients based on current policies.
Review and process financial assistance applications with supporting documentation, ensuring completeness and accuracy.
Assign liability percentages and document approvals or denials in the patient registration system.
Provide outreach and communication with patients via phone, electronic methods, or postal mail.
Maintain databases and ensure all financial documents and patient correspondence are scanned into imaging systems.
Deliver high-quality customer service to both internal and external stakeholders, including conflict management.
Verify patient eligibility for Medicaid and update insurance and demographic information as needed.
Require proficiency with PAS policies and procedures and advanced user skills with PAS software tools.
Qualifications include one year of medical office experience or related public contact experience, strong communication skills, and basic computer proficiency including Windows applications.
Preferred qualifications include a high school diploma, experience as an OHSU registrar, knowledge of Medicaid eligibility, and demonstrated accuracy and reliability.

Financial Screening Specialist (PAS Resource Specialist) Full 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.

The purpose of this position is to complete presumptive financial screening for patients who meet criteria as

outlined in current regulations. Additionally this position will assist with financial allowance applications and

the required supporting documents submitted by patients who are requesting financial assistance. This position

will review automatic financial assistance information to determine whether approval can be granted in lieu of

a completed paper application. This position determines approval status, and if approved, what percentage of

financial assistance will be granted to the patient. This position also provides support for patients requiring

assistance in the application process.

Function/Duties of Position:

Reviews applicable patient records for presumptive financial assistance which includes potential coverage discover, review of financial assistance approvals in other service areas, applicable notes from other Patient Financial Services staff.
For those patients who need to proceed with screening, outreach to the patient by phone and potentially electronically or by postal mail.
Completes high level financial screening using current policy to determine household size and income.
Completes high level Medicaid screening to determine if potential Medicaid referral may be warranted.
Based on result of presumptive financial screening, applies presumptive determination status to the patient record.
Complete PFS patient work queues. These include re-verification of SMF/SMB benefits for patients, and adding financial assistance approvals to other service areas.
Reviews financial assistance application and attached documentation submitted by patients to determine that all required information is provided and is completed properly. For any incomplete applications, returns with
letter of explanation outlining incomplete information or lacking verification documents. Requests and reviews additional documentation of financial information regarding ability to pay, eligibility or financial allowances. Provides information, clarification and interpretation of financial policy and procedure to assist patients in completing the financial application and understanding the basis for decisions made. Analyzes applications with regarding to supportive documentation, residency rules, account history and determines action based on departmental guidelines in conjunction with income include and exclusion criteria.
Reviews financial screening information to determine if patient can be approved for financial assistance in lieu of completing a financial assistance application.
Assigns liability percent based on assessment and documents on the registration computer system for OHSU Health services. Mails a letter of approval with financial allowance information to the applicant, or mails a letter of denial of allowance if patient did not qualify for financial allowance.
Refers those patients who show potential eligibility for Oregon Health Plan or Washington Apple Health to contact internal Medicaid Specialists to assist with the application process.
Assures that the financial application, verification documents, Liability Worksheet, Document Worksheet and patient letters have been scanned into the document imaging system.
Maintains a database of the information and disposes of originals using the confidential recycling bin.
Provide financial screening for low income or non-sponsored patients

Customer Service.

Provide high quality customer service to both external and internal customers that meets or exceeds the service standards of the healthcare industry. Demonstrates the ability to communicate effective, timely, and respectively at all times. Assist in maintaining an atmosphere of cooperation within the department as well as with other departments.
Demonstrate respect and cooperation in all staff relationships and genuine willingness to prevent or resolve inter-personal conflicts. Must demonstrate superior customer contact skills, remain clam and resourceful during crisis management or other difficult situations, and manage standard complaint processing. Demonstrates flexible coverage of internal service needs. Required to learn and maintain continuous application of process improvement methods and skill with available information technology. Remain current with changes to departmental procedures and latest information.

Registration

Verify patient eligibility for Medicaid coverage and enter appropriate insurance plan information accurately.
Obtain any updated insurance information from patient outreach and update guarantor appropriately
Update demographic information as needed

Other Duties as Assigned
Required Qualifications:

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.

Preferred Qualifications:

High School Diploma or equivalent
Minimum of six months experience as a registrar at OHSU and be able to demonstrate an accuracy rate of 98% or greater. As a registrar must be meeting/exceeding all other individual performance standards in a sustained manner.
Knowledge of Medicaid Eligibility guidelines.
OHSU experience.
Strong attention to detail and processes.
Ability to work with a high level of accuracy, speed, multitask and prioritize.
Demonstrated record of reliable attendance, punctuality and proven successful performance at past and present employers.
Demonstrated effective interpersonal skills, which promote cooperation and teamwork.

Additional Details:
Hours of work: Monday through Friday, from 8:00 a.m. to 4:30 p.m.
Location: Hybrid work, when on site Fifth Avenue Building downtown.

Original Job Description

Department Overview:

The purpose of this position is to complete presumptive financial screening for patients who meet criteria as

outlined in current regulations. Additionally this position will assist with financial allowance applications and

the required supporting documents submitted by patients who are requesting financial assistance. This position

will review automatic financial assistance information to determine whether approval can be granted in lieu of

a completed paper application. This position determines approval status, and if approved, what percentage of

financial assistance will be granted to the patient. This position also provides support for patients requiring

assistance in the application process.

Function/Duties of Position:

Reviews applicable patient records for presumptive financial assistance which includes potential coverage discover, review of financial assistance approvals in other service areas, applicable notes from other Patient Financial Services staff.
For those patients who need to proceed with screening, outreach to the patient by phone and potentially electronically or by postal mail.
Completes high level financial screening using current policy to determine household size and income.
Completes high level Medicaid screening to determine if potential Medicaid referral may be warranted.
Based on result of presumptive financial screening, applies presumptive determination status to the patient record.
Complete PFS patient work queues. These include re-verification of SMF/SMB benefits for patients, and adding financial assistance approvals to other service areas.
Reviews financial assistance application and attached documentation submitted by patients to determine that all required information is provided and is completed properly. For any incomplete applications, returns with
letter of explanation outlining incomplete information or lacking verification documents. Requests and reviews additional documentation of financial information regarding ability to pay, eligibility or financial allowances. Provides information, clarification and interpretation of financial policy and procedure to assist patients in completing the financial application and understanding the basis for decisions made. Analyzes applications with regarding to supportive documentation, residency rules, account history and determines action based on departmental guidelines in conjunction with income include and exclusion criteria.
Reviews financial screening information to determine if patient can be approved for financial assistance in lieu of completing a financial assistance application.
Assigns liability percent based on assessment and documents on the registration computer system for OHSU Health services. Mails a letter of approval with financial allowance information to the applicant, or mails a letter of denial of allowance if patient did not qualify for financial allowance.
Refers those patients who show potential eligibility for Oregon Health Plan or Washington Apple Health to contact internal Medicaid Specialists to assist with the application process.
Assures that the financial application, verification documents, Liability Worksheet, Document Worksheet and patient letters have been scanned into the document imaging system.
Maintains a database of the information and disposes of originals using the confidential recycling bin.
Provide financial screening for low income or non-sponsored patients

Customer Service.

Provide high quality customer service to both external and internal customers that meets or exceeds the service standards of the healthcare industry. Demonstrates the ability to communicate effective, timely, and respectively at all times. Assist in maintaining an atmosphere of cooperation within the department as well as with other departments.
Demonstrate respect and cooperation in all staff relationships and genuine willingness to prevent or resolve inter-personal conflicts. Must demonstrate superior customer contact skills, remain clam and resourceful during crisis management or other difficult situations, and manage standard complaint processing. Demonstrates flexible coverage of internal service needs. Required to learn and maintain continuous application of process improvement methods and skill with available information technology. Remain current with changes to departmental procedures and latest information.

Registration

Verify patient eligibility for Medicaid coverage and enter appropriate insurance plan information accurately.
Obtain any updated insurance information from patient outreach and update guarantor appropriately
Update demographic information as needed

Other Duties as Assigned
Required Qualifications:

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.

Preferred Qualifications:

High School Diploma or equivalent
Minimum of six months experience as a registrar at OHSU and be able to demonstrate an accuracy rate of 98% or greater. As a registrar must be meeting/exceeding all other individual performance standards in a sustained manner.
Knowledge of Medicaid Eligibility guidelines.
OHSU experience.
Strong attention to detail and processes.
Ability to work with a high level of accuracy, speed, multitask and prioritize.
Demonstrated record of reliable attendance, punctuality and proven successful performance at past and present employers.
Demonstrated effective interpersonal skills, which promote cooperation and teamwork.

Additional Details:
Hours of work: Monday through Friday, from 8:00 a.m. to 4:30 p.m.
Location: Hybrid work, when on site Fifth Avenue Building downtown.

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Financial Screening Specialist (PAS Resource Specialist)

Edtech.com's Summary

Financial Screening Specialist (PAS Resource Specialist) Full Description

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