Oregon Health & Science University

Financial Specialist (PAS-R)

Job Locations US-OR-Portland
Requisition ID
Position Category
Administrative/Office Support
Position Type
Regular Full-Time
Job Type
AFSCME union represented
Patient Financial Services

Department Overview

The purpose of this position is to process financial allowance applications and the required supporting documents submitted by patients who are requesting financial assistance.  This position determines approval status, and if approved, what percentage of financial assistance will be granted to the patient.  This position also provides face-to-face support for patients requiring assistance in the discount application process. 

Function/Duties of Position


  • Provide high quality customer service to all internal and external customers   This includes communicating accurately, openly, supportively,  in a timely manner, and extending special attention and sensitivity to all patients, visitors, and fellow employees.  Assist in maintaining an atmosphere of cooperation within the department, as well as with other departments and allied professionals.  Demonstrate respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. Must demonstrate superior face to face customer contact skills, remain calm and resourceful during crisis management or other difficult situations, and manage standard complaint processing. Required to learn and maintain skill with available information technology, and remain current with changes to departmental procedures and new information.
  • Reviews financial 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 regard to supportive documentation, Oregon residency rules, account history, and determines action based on departmental guidelines in conjunction with income inclusion and exclusion criteria. 
  • Assigns liability percent based on assessment and documents on the registration computer system for hospital and physician practice billing 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 a discount
  • Refers those patients who show potential elgibility for Oregon Health plan or Washington Medicaid to contact internal Financial & Medicaid Specialist group to assist with the application process.
  • Notifies billing office of the retroactive assignments of any approved financial allowance.
  • Assures that the financial application, verification documents and Liability Determination Worksheet have been scanned into the document imaging system.
  • Maintains a database on the information and disposes of originals using the confidential recycling bin.
  • Gather and/or verify patient information including demographics, guarantor, emergency contacts, insurance coverage, and financial status when applicable.  Verify patient eligibility for health care coverage and enter appropriate insurance plan information accurately.  Provide financial screening for low income or non-sponsered patients and refer patients to Medicaid programs or send a charity care application when appropriate.


Required Qualifications

Education: High School Diploma or equivalency


Experience: One year of experience in a medical office and/or medical billing setting, including high-volume direct patient contact.  Must have demonstrable record of reliable attendance, exemplary customer contact skills, punctuality, and proven successful performance at past and present employers. 

Preferred Qualifications


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/exceding all other individual performance standards in a sustained manner.


Knowledge of Medicaid Eligiblity guidelines


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