The Scheduler and Biller provides high quality customer service to both external and internal customers and has the primary responsibility to schedule and bill. Scheduling responsibilities include coordination with the procedure units needs across MSPU, financial screening, patient eligibility for services, and complex referrals. Responsible for billing for procedures, including procedure, anesthesia, recovery, drugs, observation and overnight charges. Responsible for billing for supplies and implants, reviews and codes treatment and procedure information from inpatient and/or outpatient medical records for the purpose of providing medical coding information for appropriate billing of health care services and professional fees, input to research on specialized health care subjects, for registration with national and state registries, to provide data for research and to ensure hospital and physician compliance with Federal, State, and Joint Commission on Accreditation of Hospitals and the American College of Surgeons regulations and guidelines. Responsible for auditing and confirming accurate and complete documentation for billing purposes (eg time stamps, catalog and lot numbers, etc.). Responsible for resolving discrepancies, checking invoices from vendors, searching for prices, reviewing physician documentation as needed. Also helps answer incoming phone calls for scheduling department, triaging need and transferring or recording call as appropriate. 

 

Periop and MSPU includes all Operating Room and Procedural Room locations (Cath Lab, GI, Interventional Radiology and beyond).

Scheduling and Coordinating Procedures:

• Responsible for scheduling of procedures, both anesthesia and non-anesthesia in multiple locations. Responsible for all the scheduling, rescheduling and canceling procedures. Schedules recovery into the Procedural Care Unit and arranges interpreters when necessary.
• Gathers and verifies patient demographic information.
• Arranges interpreters when necessary, and accommodates other special needs whenever possible. Mails information packets. Provides personal reminders to patients about upcoming procedures. Support in the coordinating and scheduling ancillary services preceding and / or during surgical procedures.
• Maintains a service-based working knowledge of diagnostic and procedural coding.
• Confirms patient eligibility for health care coverage.
• Maintains current information on managed care insurance plans.
• Provides on the job training, orientation, guidance and coaching for new PAS personnel in the service area. Fills in as needed for any subordinate PAS position within the service areas.

Billing:

• Responsible for accurate and timely billing of procedural cases including anesthesia and facility charges.
• Investigates and reconciles documentation errors or missing documentation.
• Research and verify implant and supply prices and charges, review accuracy of implant documentation and investigates and reconciles errors.
• Reconciliation of charges and ensure all charges were captured as expected.
• Collects and organizes paper charges sheets.
• Respond and manage group billing email address.
• Responsible for managing work-queue messages from Epic and resolving discrepancies.

Management of multi-line phones and group email box:

• Responsible for answering calls received from individuals in numerous OHSU departments and off hill providers as well as incoming calls from patients.
• Responsible for making sure each call is answered in a timely manner with minimal hold time and that the caller’s requests are attended to.
• Responsible to triage phone calls and redirect individuals that have reached office in error to the correct department/individual or transfer to the campus operator for assistance.
• Responsible for reading and responding to all email sent to the “group email box” throughout the day. Sort & Save emails into the appropriate “folders”.

Special Projects:

• Special projects as assigned, including intermittent or ongoing projects, data review/entry, patient phone calls, improvement projects and chart auditing.
• Resource for PAS staff.

• One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and requires experience obtaining managed care authorizations. 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.

Job Related Knowledge, Skills and Abilities (Competencies):

• 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.

 

Education:

• Bachelor’s Degree

Experience:

• Experience in materials management, hospital/health care billing, and obtaining managed care authorizations
• Experience answering multi-line phone calls.

Job Related Knowledge, Skills and Abilities (Competencies):

• Basic medical terminology skills. 
• 2 year or more of experience in scheduling surgical/procedural cases
• Knowledge of Epic Optime and Patient Station Microsoft Outlook

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.