The PAS Coordinator for the Peds Pulmonology, Cystic Fibrosis, and Sleep Medicine supports a range of administrative and clinical support functions for the departments. The Patient Access Service Coordinator provides leadership, expert guidance and oversight for the PAS Resource Specialists consistent with the operational requirements and customer service philosophy of Patient Access Services. The PAS Coordinator provides leadership, guidance, and coordination in the areas of appointment and procedure scheduling, financial screening, patient eligibility for services, managed care and other health care contract terms, billing and coding, and complex patient referrals. The PAS Coordinator will monitor clinical operations metrics, investigate clinical issues, and will serve as a clinical operations resource for the entire Clinical Operations team, including patients, providers, and staff. This position will also provide instruction to PAS-R personnel on processes and procedures and will provide cross-coverage and fill-in coverage as scheduled for the PAS-R roles, as directed by the supervisory team.

1 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.

 

2 Clinical Operations Monitoring. Investigates clinic scheduling errors, patient volume and flow, unkept appointments and reschedules, and providers’ time utilization; recommends operational changes as needed. Investigates claim denials, particularly for evidence of PAS non-compliance; communicate findings to appropriate PAS personnel and providers. Reviews cash- collected statistics with anticipated collections data and investigate discrepancies. Investigates patient and provider complaints and develops appropriate corrective action plans. Maintains accurate provider templates and listings of available clinical services for the cluster.

 

3 Clinical Service Resource. Shares PAS expertise and disseminates information to other PAS personnel. Serves as an expert user of PAS systems software. Maintains working knowledge of diagnostic and procedural coding appropriate for the service area. Maintains PAS Specialist skills in the areas of enrollment and authorization, arranged care, point-of-service operations, integrated care, and telecommunications. May be required to fill as needed for any subordinate PAS position within the service area. When necessary, communicates directly with patients or other customers who have encountered difficulty accessing health care at OHSU.

 

4 Personnel Coordination. Assists the employment supervisor with interviewing and hiring PAS Specialists and PAS Resource Specialists. Orients new employees and plans for training. Monitors for timely completion of training requirements and demonstration of core competencies. May be required to assign and approve PAS-related work. Investigates PAS-related performance problems and prepares the standard PAS accountability documents up to and including removal of PAS system access. Works conjointly with the employment supervisor to counsel employees, develops work plans, and, when requested, provides supervisor with input regarding progressive discipline. Prepares PAS Performance Assessments and provides this documentation to PAS Central and to the employment supervisor. Communicates performance expectations and PAS policies and procedures. Assists employees with problem identification and resolution. May be required to coordinate PAS personnel work schedules and time-away, and to arrange coverage for

absent PAS personnel when necessary.

 

5 Managed Care Coordination. Coordinates and provides back-up Managed Care Coordination. This function maintains current information on managed care insurance plans and serves as a liaison and information resources for physicians, nursing support staff, and coworkers, referring physician offices, OHSU Health Plan Office, patients, and insurance companies on authorization requirements per diagnosis and service. Serves as service area expert on ICD10 coding requirements and issues. Obtains managed care authorizations for all consultations, procedures, office visits, and care arrangements by scheduling appointments and contacting other providers’ offices.

 

6 Procedure Scheduler. Coordinates and provides back-up Practice Procedure Scheduler duties. This function maintains current information regarding procedure schedules for service site providers. Serves as liaison and information resource for physicians, nursing support staff, coworkers, IP Admitting Department, Procedure Office, and Periop Services. Collects from physician all information necessary to schedule a surgery (including ICD10 codes, equipment needs, etc.). Applies problem solving and negotiating skills in resolving provider and patient concerns and other procedure related problems.

 

7 Telecommunications. Provides back-up phone triage. 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.

 

8 Training and Competency. Successful complete the required PAS initial training and core competency assessment before or during the trial service period. Completes all required update modules. Maintains core competencies, and demonstrates continuous application of these skills

throughout the period of employment.

 

9 Department Meetings, Process Improvement work

• High School Diploma 
• Two years of front-line clerical experience in a clinical setting with direct patient contact. Experience must include scheduling of appointments and obtaining managed care authorizations.
• 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.
• Applicants must have a positive attitude and compassion for patients experiencing difficult emotions arising from health care situations.
• Requires a self-directed and organized individual who can excel in a busy environment.
• Applicants must work effectively with providers, managers, and peers and exhibit excellent customer service and communication skills.
• Excellent verbal and composition skills and ability to accurately convey detailed and complex medical information.

   

• Excellent proficiency in computer programs including MS Office (Excel,

  Word, Powerpoint, etc) and medical based compter programs.
• Typing skills of at least 45 words per minute.
• Thorough knowledge and experience with multi-line phones.
• Proven excellent work attendance record.

 

• Preference given to candidates with knowledge of OHSU’s PAS policies and procedures, with completed OHSU PAS training and core competencies, and with previous OHSU PAS experience.
• Medical office experience
• Bachelor's degreeFormal customer service training.
•  Procedure scheduling experience.

•  Managed Care Coordination experience

• Referral Coordination experience

 

Benefits:

• Two raises per year – One at anniversary date and one across the board annual increase

• Vacation- up to 200 hours per year depending on length of service

• Medical, Dental, and Vision Insurance- Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee

• Flexible spending accounts & Health savings account options

• Retirement Plans: Oregon PERS Plan or employer matching plans like 403b,401a, and 457b 

• Sick Leave- up to 96 hours per year

• 8 paid holidays per year

• Substantial Tri-met and C-Tran discounts

• Tuition Reimbursement

• Employee Assistance Program (EAP)

• Public Student Loan Forgiveness eligibility

• Onsite Childcare Service & Gym

• Health & Wellness Program

• Career Center

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.