Schedule new and return patient appointments, including residents, faculty and ancillaries; prepare patient appointment list.   Obtain prior medical records and studies if appropriate.  Create a medical record if needed.  Arrange stretchers, wheelchairs, and interpreters when necessary, and accommodate other special needs whenever possible.  Mail information packets.  Obtain and prepare OHSU medical records before scheduled appointments. Arrange and order associated clinical, diagnostic, or laboratory services; obtain authorizations when necessary. Triage phone calls, dispensing appropriately, including facilitation of prescription refills, consults, walk-ins and emergencies.        Greet patients and confirm that an appointment has been kept.  Copy insurance cards and/or authorization notices and verify insurance coverage.  Identify and collect deductible payments, co-payments, and deposits on services; provide receipts and complete necessary accounting procedures.  Verify and update the common data set on-line.  Explain and satisfy any necessary patient signature requirements.   Perform cash handling and billing duties in a timely and thorough manner. Duties include: educating patients on related billing issues as appropriate; collecting co-payments and past due balances when indicated; providing patients with appropriate receipts per CEI procedures; reconciling daily receipts per CEI policy and maintaining front office cash drawer as appropriate.    Back-up surgery scheduling for four physicians, procuring presurgery history and physicals from primary care physician’s offices, verifying patient insurance information and obtaining insurance authorizations/referrals for all surgeries.    Assist physicians with correspondence and transcription related to patient care, referrals and insurance.   Other administrative duties as assigned by supervisor.   Customer Service.  Provide 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 or requests promptly to the appropriate providers or their designees.   

The Patient Access Service Specialist (PAS) is the first point of contact in person and via phone for the Department of Neurology. The PAS provides high quality customer service to both internal and external customers. The work environment is both on campus and remote work supporting a call center and front office duties. This position involves serving on a rotational basis to assist with the front office check-in and check-out desk. PAS tasks include but are not limited to gathering and recording required information about patients, provide specific customer service including screening for financial eligibility, confirming health insurance coverage and individuals’ obligations, obtaining necessary authorizations for care, scheduling appointments, answering a high volume incoming phone line, taking detailed messages including refill requests and routing to the appropriate person, and assisting patients in an office or clinic setting. This position requires an attention to detail, strong ability to multi-task and exceptional customer service skills.   ***Please include a cover letter with your application.  

New Patient Scheduling - Receive incoming phone calls via the Automated Call Distributor (ACD). - Work the referral work queue to schedule patients. Assess the patient’s needs based on diagnosis and previous treatments. - Schedule/hold patient appointments following protocol for assigned departments, documenting all necessary information. - Triage information to the appropriate clinical parties via Inbasket. - Monitor daily the Intake outlook inbox. Triage faxes to appropriate parties within the team. - Monitor daily the Epic Pool and personal Intake basket daily - If needed, contact referring provider/practice to obtain necessary clinical and demographic information. - Communicate with other departments and referring provider practices to achieve optimal care coordination for medical or financially fragile patients - Consistently answer telephones in a timely manner and within defined standards. - Monitor access issues with provider schedules that affect patient satisfaction and communicate issues to team leader - Triage phone calls and transfer to appropriate practice using the defined ambulatory standards - Proactively perform outbound call work. This includes calling patients to inform them of a referral in our system and to actively schedule those patients. - Obtain, verify and input all information accurately into appropriate system - Clearly and thoroughly document any and all actions taken on a referral based on department protocols in the EPIC Referral - Verify correct department for referral based on Intake matrix. - Route referral to correct practice in the event of a misrouted referral. - Communicate with supervisor/manager if the established expectations cannot be met in the timeframes given. - Capture all outside medical records listed on the intake matrix and scan them into EPIC. Alternatively, create the link for CareEverywhere and notify provider where the records can be located - Use the wait list work queue to ensure provider slots are full. - Create and send new patient packets for scheduled appointments. Patient Satisfaction - This position is a key contributor to patient satisfaction initiatives with the OHSU Ambulatory clinics. This position has a direct effect on patient experience metrics re: access and appointment scheduling. - Resolve patient inquiries or escalate to higher levels for solution - Escalate all complaints to manager or supervisor, utilizing established chain of command. - Demonstrate courteous and professional behavior when dealing with patients/staff at all times. - Manages a positive patient experience at all times. Registration - Accurately verify patient information including demographic & insurance coverage. Make updates via Epic when necessary. - Accurately create new medical records for a new OHSU patient if they are currently not in Epic.

Customer Service: - Provides high quality customer service to both external customers (patients and their families, referring providers, etc) 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. Scanning and General Office Support: - Gathers and/or verifies patient and guarantor information including demographics. Scans documents and routes via electronic database by fax or email. Responsible for sending and receiving faxes and routing fax to appropriate staff member. Arranged Care: - Schedules new and returning patient appointments on line, and manually if necessary. Arranges wheelchairs, interpreters when necessary and accommodates other special needs whenever possible. Makes special arrangements with families for teleconferences as needed. Prepares and mails information packets to patients. Prepares patient education materials. - Notifies patients of appointments via telephone and mail. Makes confirmation calls and send out appointment reminders, if appropriate. Secures pertinent outside medical records prior to appointments; obtains requested studies, consults, etc. from outside facilities; facilitates hard copies of studies getting sent for input into the OHSU system. Telecommunications: - Triages and accurately documents telephone calls from patients and providers 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. Integrated Care: - Contacts primary care physicians or their designees to obtain medical records. Laboratory data entry.

Provides a Safe Therapeutic Environment - Ensures the safety and welfare of patients/clients, family/caregivers and fellow employees. - Utilizes proper posture and sound body mechanics and principles for safe patient handling. - Maintains general good physical and mental health and self care in order not to jeopardize the health and safety of self and others in the workplace. - Maintains a clean, safe, and orderly environment for patients, family and personnel, including but not limited to, maintaining organization for therapy supplies and equipment, notifying appropriate personnel when cleaning or repair is needed, following infection control policies, maintaining knowledge of life safety, fire and electrical safety and disaster plan. - Maintains a high degree of courtesy, discretion and respect for patients/clients, families/caregivers and fellow employees. - Considers the needs of patients/clients, families/caregivers, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner. Arranged Care - Schedules new patient appointments on line and manually if necessary. 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. 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. 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. Validates parking. Answers phone calls, returns messages, Billing, and cash handling. - When requested, obtains authorizations for clinical care. Enters all information accurately into OHSU databases or into the medical record. Follows up on pending authorizations until they are obtained. Customer Service - Demonstrates excellent customer service and communication skills in all interactions with patient/clients, families, caregivers, internal and external customers, including telephone, electronic and face to face situations. Using AIDET at all times. - Addresses complaints and problems promptly and courteously, involving management when indicated. - Communicates using active listening skills in a supportive courteous, professional manner at all times to patients/clients, family/caregivers and staff. 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.

- Outpatient Clinic: Greet and check-in new patients to the practice providing a high level of customer service in preparation for the visit. This position will also check in / out established patients, make return appointments, answer incoming calls, provide high quality customer service to both external customers (patients, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meet or exceeds the service standards of the health care industry. Obtain prior medical records and studies when appropriate. Enter all information accurately into OHSU databases or into the medical record when necessary. Answer all basic appointment questions. Determine and collect co-payments/cash handling. Applies problem solving and negotiating skills in resolving patient concerns. Provides high level of support to providers and patients. - Answer incoming phone calls, verify account information including, but not limited to, demographics, insurance, and Primary Care Provider. Will schedule appointments including but not limited to new patient, ancillaries, procedure services, and follow-up appointments. Maintains current information on all managed care insurance plans and is up-to date with all insurance plan changes, utilizing information to efficiently and effectively obtain authorizations as appropriate. Solid understanding of  ICD10/CPT coding requirements and issues. Responsible for keeping the schedule flowing smoothly and on time. Applies problem solving and negotiating skills in resolving patient concerns. Creates telephone and routes telephone encounters with accurate information for medical staff from patients or patient’s representative. Manages providers schedule and completes administrative work for team providers - Enrollment & Eligibility. 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.  - Performs other administrative duties and/or projects as requested by providers, managers, and supervisors.

Surgery Scheduler Maintains current information regarding surgery schedules for service site providers. Serves as liaison and information resource for physicians, nursing support staff, coworkers, IP Admitting Department, Surgery Office, and Periop Services. Collects from physician all information necessary to schedule a surgery (including ICD9 codes, equipment needs, etc.). Maintains surgery information to OR as soon as received. Starts insurance process and obtains authorizations. Facilitates care arrangements by scheduling preops, PAT clinic, ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving provider and patient concerns and other surgery related problems.    Telecommunications 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.    Arranged Care Schedules new patient appointments on line, and manually if necessary. Obtains prior medical records and studies if appropriate. Creates a medical records 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.    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.    Administrative Support for Assigned Surgeon – scheduling meetings, managing calendar, legal correspondence, appeal letters, coordinating travel, projects, and other duties as assigned. 

General work hours are Monday through Friday, 0800 – 1700.  Position location will be in SE Portland East Portland Clinic.  Weekend and evening work may be required.  Employee will need to flex hours as needed to achieve required outcomes of position. - Clinical Practice Management: - Develops, maintains, and implements practice policies and procedures. A key leader of transformative changes to the care delivery model as it is adapted to the rapidly changing health care environment.  Provides leadership on development and implementation of standards of practice. - Leads and participates on committees. Ensures practice compliance with regulatory requirements. - Oversees inventory of all supplies and equipment. - Serves as liaison in coordination of support services for practice operations. - Leads and/or assists with implementation of grants and projects. - Demonstrates knowledge of standards developed by organizations monitoring patient care including, but not limited to DNV and CLIA. In conjunction with clinical staff, coordinates patient flow. - Monitors patient outcomes, especially patient experience, as well as quality metrics in general. Actively shares results with staff and develops appropriate action plans for improvement. Ensures that patient education materials are available and current. - Assists in planning and scheduling patient education classes and related services. - Personnel Management: - Assumes responsibility for coordination of all clinical activities for faculty clinicians and residents, in conjunction with the Medical Director. Works with Medical Director regarding faculty and resident issues.    - Directs the work and supervises the Front Office Supervisor and the Back Office Supervisor. Indirectly supervises front office staff and back office staff. - Monitors direct patient care to ensure appropriate use of all front and back office staff. Monitors staff adherence to policies/procedures and to maintenance of standards of care. Plans, assigns and approves work. - Ensures assigned staff adequately meet workload requirements. Hires, evaluates, counsels and dismisses personnel. Responds to AFSCME grievances. Conducts staff meetings. Recommends salary adjustments. - Identifies training and development needs of staff and coordinates inservices to meet staff needs. Orients new staff and coordinates training. - Monitors staff time and attendance Oversees patient complaints and monitors customer service delivery. Makes periodic reports to the Richmond Board of Directors and the Board's Quality Committee regarding the patterns of complaints and our responses to them - Administrative Functions: An active key member of the Leadership Team: - Leads in setting and achieving goals and objectives for the practice and provide direction and guidance for other clinic managers and supervisors. - Actively participates in drafting the annual budget. - Demonstrates knowledge of capital purchases, payroll and billing processes.  Keeps abreast of all expenditures, revenues, workloads and general clinic - Works with CFO to create and meet budget expectations. - Assists with QI planning and implementation, particularly with Lean projects. - Leads and assists with development of new programs; implement security protocols and Patient Experience interventions   - Key Deliverables of the role: - Focus on growing visit volume while maintaining balanced budget. Patient experience scores, clinical compliance, high functioning staff, efficient patient flow/clinical operations - Participates in oversight of grant proposals, quality assurance and data reporting to ensure benchmarks and deadlines are met - FQHC (Federally Qualified Health Center) – Knows and understands complience for all FQHC requirements, actively participates with the community, safetynet community, organizations and others around underserved patient population issues and initiatives. Ensures that all compliance related reports and forms are submitted on time - example: cost reports, AMP reports, grant reports and others Job titles of employees supervised: Clinical Operations Supervisor, Admin Coordinator, Eligibility Specialist, Care Coordinator. Indirect Reports: PAS Specialist, PAS Resource, MA’s, This position works in a busy environment with a lot of interruptions, multiple demands, and people interactions.  It requires dealing with frequent interruptions within the work group.  Some travel is required. Requires effective collaborative working relationships with Executive Director, Medical Director, Quality Manager, Chief Financial Officer, OHSU VP of Ambulatory and others.

- Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for healthcare coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures and laboratory studies. Enters all information accurately into OHSU database or into the medical record when necessary. Follows up on pending authorizations until they are obtained. - Provides high quality customer service to both external customers and internal customers that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication efforts, exemplary phone etiquette, flexible coverage of internal service needs, and continuous follow through. - Is responsible for all processes involved in checking patients in and out. Responsible for but not limited to scheduling return appointments, scheduling ancillary services as requested by the provider, obtain authorization when necessary. Directs patients to appropriate providers for other health care issues. Completes and routes direct referrals to other clinical services. Contact Primary Care physicians or their designees to obtain authorizations for care as required. Is responsible for managing all of the provider’s template changes, vacations and clinic schedules.  - Takes accurate messages from patients including request for medication refills, complaints, general information inquiries, and urgent healthcare concerns. Delivers such information or requests promptly to the appropriate providers, Nurse Care Manager or their designees. - Schedules new and return patient appointments on line. - Handles correspondence, orders hospital records and x rays; handles correspondence requests; sends appointment reminders or calls patients.

Customer service excellence and Telecommunications - At all times must exemplify high quality customer service to both external customers as well as internal customers that meets or exceeds the service standards as set by OHSU. This includes communications with patients, referring providers, insurance carriers, and OHSU staff. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, high-level conflict resolution and response to customer concerns, flexible coverage of internal service needs, continuous application of process improvement methods and skills. - This position will receive incoming phone calls via the Automated Call Distributor (ACD) and will document accurately telephone communications into Epic using Standard Work. Consistently answer telephones in a timely manner and within defined standards. - This position will proactively perform outbound call work to patients to communicate status of their insurance coverage, explaining any insurance complications for scheduled appointments, and document into Epic. Benefits and Authorizations, Managed Care coordination, Surgery Scheduler, Scheduling - Gathers and verifies patient information including demographics and insurance coverage. Confirms patient eligibility for health care coverage. Obtains authorizations for clinical care, procedures, and surgical cases. Accurately documents each step of workflow into Epic following Standard Work. Follows up on pending authorizations until they are obtained. Communicates with patients and providers the status of pending authorizations or other insurance coverage concerns. - Schedules patients for appointment as needed in order to coordinate care or to ensure authorization can be obtained for services. - Maintains current information on managed care insurance plans and serves as an information resource to providers and CPC staff. - Ensures check-in staff have all information and documents in place for a smooth, efficient, and complete check-in process. This includes, but is not limited to, careful review of insurance and demographic information with each patient and verifying insurance benefits, obtaining authorization, indicating information on copays, deposits, estimates, forms such as ABNs, NCCFs, OHP waivers. Clarifies questions from Scheduling staff regarding insurance coverage for scheduling. Communicates with patients and check-in/scheduling staff (Comprehensive Pain Center, ENT, and Beaverton CCI) when questions or discrepancies arise. Communicates with providers if there are concerns about coverage for requested services or orders. - Obtains authorization for CPC surgical cases, and schedules surgical cases. Coordinates visits needed prior to surgery and post-surgery including scheduling preops, PMC clinic, ancillary services, and post-op appointments as needed. Applies problem solving skills in resolving provider and patient concerns related to surgical cases. Integrated Care, Communication, Workqueues, Information Resource - Process all Managed Care work queues for obtaining authorizations for procedures (Surgery WQ), diagnostic testing (Diagnostic WQ), outgoing referrals (From my Practice WQ), patient estimates and notification of service pricing (No Surprise Billing WQs), and other workqueues as needed, while assessing the patient’s needs based on diagnosis, insurance coverage and medical records. - Maintains up to date and current on information on managed care insurance plans, and serves as a liaison and information resource for clinical staff, colleagues and insurance companies regarding insurance coverage and processes. Applies problem solving skills in working with insurance companies, FPP and Hospital Financial Services in resolving patient concerns and billing related problems. Responds to patient, staff and provider questions regarding insurance coverage. - Will monitor and respond to inbasket messages, emails, and faxes following Standard Work and within timeframes consistent with performance metrics. - Will monitor inquiries and communications with colleagues and providers using messaging platforms such as Microsoft Teams, responding withing reasonable timeframes and customer services expectations. Other duties as assigned

The School of Dentistry (SOD) Patient Access Service (PAS) Specialist provides courteous and comprehensive administrative support services for patients, students,faculty, staff, and visitors at the OHSU Dental Clinics in the School of Dentistry. These duties include but are not limited to answering phones, patient registration, insurance verification, collection of payments, balancing cash drawer, answering billing questions, and other administrative tasks as assigned that support all of OHSU Dental Clinics. The SOD PAS Specialist must be able to consistently perform all the functions of the job in order to maintain excellent and comprehensive service for all the patients, students, faculty and staff.   The SOD PAS Specialist works in a high public contact area dealing with patients and staff in a positive and consistent manner. Each employee must interact with the patients, some in acute dental pain, in a friendly, knowledgable, and appropriate manner.   The SOD PAS Specialist are responsible for knowing SOD clinic policies including but not limited to appointment scheduling, payments, and insurance, and must be able to communicate these policies with patients, students, facutly, and staff.  Each OHSU Dental Clinic at the SOD may have different policies specific to their department, and the SOD PAS Specialist will be required to use their judgement to implement the appropriate policy or give information specific to each situation they encounter.   The SOD PAS Specialist may be deployed to different desks, floors, or work stations throughout each day to cover areas at peak times.  The SOD PAS Specialist must be flexible and be able to complete work with considerable independence on a daily basis. The SOD PAS also provide support to the Russell Street Clinic and could be deployed to work at that clinic depending on business needs.   This position requires the employee to be Bilingual to provide language interpretation to patients.

Arranged Care: - Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments as directed by physician and/or nurse staff; Uses EMR and other systems as needed for scheduling. Creates a medical record if needed. Provides personal reminders to patients about upcoming appointments. Serves as a liaison and information resource for physicians, and nursing support staff; Return patients messages (phone and/or electronic); Prepare and mail patient information packets; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary. Maintains a service-based working knowledge of oncology practice. Obtains prior medical records and studies if appropriate. Arranges for wheelchairs, interpreters, or other assistive devices as necessary to support safe, high-quality care. Other duties as assigned. 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. Telecommunications: - Takes incoming/inbound calls and/or makes outgoing/outbound calls from/to patients, referring providers, or other stakeholders; Connects callers with the appropriate individual(s) to address their questions and/or progress their care; Create EMR telephone encounters that include accurate documentation of requests, such as medication refills, complaints, general inquiries or urgent health care concerns; Direct calls/messages to the appropriate staff for patient care /needs assessment; Process calls (answering, screening, routing, paging etc.) in a timely, polite, professional manner; Delivers information or requests promptly to the appropriate providers or their designees. - Transfer calls as needed and engage nursing, physician, APP, or other care team personnel per circumstance; Provide information to callers, including directions, addresses and hours of operation; Use schedules and departmental procedures to locate appropriate on-call person for internal and external callers; Understand and process calls per departmental policy for each encounter type (i.e. refill, telephone, documentation, etc.)  Customer Service / Point of Service Operations: - Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, exemplary phone etiquette, face-to-face customer contact skills, high emotional intelligence including during stressful situations, utilization of available information technology, consistently following standard work, flexible coverage of internal service needs and the continuous application of process improvement methods and skills. - Greets patients and, where appropriate, checks them in prior to being seen by clinical staff. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required. Ensures that all appointment comment information is accurate and complete. Enters all information accurately into OHSU databases or into the medical record when necessary. Inspects insurance cards and/or authorization notices. Explains and satisfies any necessary patient signature requirements (including non-covered service forms). - Identifies and collects co-payments, provides receipts, and completes necessary accounting procedures as needed. Notifies clinical staff when patients arrive, monitors the length of patient wait times and intervene as necessary. Distributes medication lists to patients and prepares other duties associated to clinic as needed. Validates parking as needed.

Customer Service: Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed 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.   Surgery Scheduling: Schedule new surgical and clinical appointment via EPIC Cadence. Arrange wheelchairs, interpreters, and transportation when necessary and accommodates other special needs whenever possible. Prepares and mails information packets to patients. Notify patients of appointments via telephone and mail. Make confirmation calls and send out appointment reminders. Make special arrangements with families for teleconferences as needed. Secures pertinent outside medical records prior to appointments including hard copies of appropriate diagnostics. Schedule diagnostic studies to be done at facilities inside and outside of OHSU. Arrange for transfers of patients from outside hospitals via the transfer center, per surgeon instructions. Develop and maintain working relationships with the referring physician and their staff to insure a smooth referral process. Participate in meetings and committees as requested to improve patient care processes and procedures.   Managed Care: Gather/Verify patient and guarantor information including demographics, insurance coverage, and financial status; confirm patient eligibility and benefits for health care coverage directly with the carrier via electronic database, phone, fax or email; clarify any managed care arrangements; obtain authorizations for clinical care, surgeries, procedures and laboratory studies. Enter all authorizations, referral and benefit information accurately into EPIC Cadence and EARL. Follows up on pending authorizations until they are obtained. Works with manager to resolve any denials related to authorization/enrollment issues in a timely manner.   Follow up on referrals for future appointments. Attend monthly managed care meetings and share information with staff. Serve as liaison and information resource for physicians, nursing support, coworkers, referring physicians, etc. on insurance authorization requirements. Determine appropriate TOS payment amounts (including co-pays, co-insurance, deductibles, deposits, prepayments, etc.) and arrange for their collection at the time of service. Arrange for T&C forms, NCCF, etc. to be completed by patient and submit as appropriate. Apply problem solving skills and negotiation skills in resolving patient concerns and managed care related problems. Follow up on UMG denials as requested by manager. Perform other miscellaneous tasks relating to the managed care processes at OHSU.   Process Incoming referrals: Process all incoming referrals both internal and external using the department of Urology’s Referral Matrix. Gather all pertinent medical records for consultation. Direct referrals to medical personnel on medical review and scheduling recommendations. Communicate with referring providers on authorization and other arrangement that need to be made in order consult with the patient. Telecommunications: Triage incoming calls and route callers to appropriate provider, staff or resource; accurately document and relay any messages; process any requests for medication refills as directed by provider; direct calls of complaint, requests for information, urgent health care concerns and general inquiries to the appropriate source.   Other Duties As Assigned.

Checking patients in/out: Checks patients in by: - Greeting patient and family/visitors - Verifying demographic information - Verifying insurance and guarantor information  - Verifying that EPIC and EPIC patient information match - Verifies and assists with forms that need to be completed; financial and medical Screening patients (bed bugs, etc.) - Checking-in using EPIC - Notifies/Asks if patient can be seen if they are late for their appointment - Asking for and collecting money (co-payments, pre-payments, patient payments on account) Balances money. - Handing out forms that need to be completed (health history form, release of information, etc) - Keeps patients informed on delays (reactive and proactive) Checks patients out by: - Greeting patients - Checking out using EPIC - Prints after visit summary (if not already done by care team) Schedules return appointments  - Accurately schedule appointments in EPIC for established and new patients. - Appointment types include: follow-up, complete physical exams, well child checks, procedures, prenatal, new patients, etc.  - Accurately notes why the patient is coming in for a visit. - Schedules interpreters when needed - Gives appointment card reminder Thank patient for using Richmond and ask them to complete any surveys they receive. Reschedules appointments when the provider will not be in clinic (same day or in advance) Cleaning/safety: - Maintain a clean and orderly work space  - Clean the lobby and restrooms as needed when housekeeping is not in Notify the lead/manager when equipment is not functioning properly (take out of service) - Notify lead/manager of safety concerns or biohazard issues

Outpatient Clinic: - Greet and check-in new patients to the practice providing a high level of customer service in preparation for the visit. This position will also check in / out established patients, make return appointments, answer incoming calls, provide high quality customer service to both external customers (patients, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meet or exceeds the service standards of the health care industry. Obtain prior medical records and studies when appropriate. Enter all information accurately into OHSU databases or into the medical record when necessary. Answer all basic appointment questions. Determine and collect co- payments/cash handling. Applies problem solving and negotiating skills in resolving patient concerns. Provides high level of support to providers and patients. Telecommunication: - Answer incoming phone calls, verify account information including, but not limited to, demographics, insurance, and Primary Care Provider. Will schedule appointments including but not limited to new patient, ancillaries, procedure services, and follow-up appointments. Maintains current information on all managed care insurance plans and is up-to date with all insurance plan changes, utilizing information to efficiently and effectively obtain authorizations as appropriate. Solid understanding of ICD10/CPT coding requirements and issues. - Responsible for keeping the schedule flowing smoothly and on time. Applies problem solving and negotiating skills in resolving patient concerns. Creates telephone and routes telephone encounters with accurate information for medical staff from patients or patient’s representative. Manages providders schedule and completes administrative work for team providers. Enrollment & Eligibility: - 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.

Managed Care Coordination - Maintains current information on managed care insurance plans and serves as a liaison and information resources for physicians, nursing support staff, PAS specialists, referring physician offices, patients, Hospital Operations Support and others on authorization requirements; serves as a service area resource ICD9 coding requirements; obtains managed care authorizations for consultations, procedures, office visits, care arrangements, and contact other ancillary and clinical services as needed; problem solves and negotiates skills in resolving patient concerns and managed care related problems. Radiology/Surgery Scheduling - Schedules multifaceted patient appointments on line, and manually if necessary in all modalities of Diagnostic Imaging Services. Maintains current information regarding schedules for resources and providers. Serves as liaison and information resource for physicians, nursing support staff, coworkers, IP Admitting Department, Surgery Office, and Periop Services. Collects from physician and clinics all information necessary order information to schedule a scan (including ICD9 codes, diagnosis, equipment needs, etc.). Facilitates care arrangements by scheduling IRU time, preops, PAT clinic, ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving provider and patient concerns and other imaging related problems. Customer Service - - Provide high quality customer service to both external customers (patients, referring providers, clinics, insurance carriers) and internal customers (OHSU health care providers, staff) that exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face and telephone customer contact skills, crisis management, familiarity with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills.  Enrollment & Authorization - Gather and/or verify patient information including demographics, insurance coverage, and financial status. Confirm patient eligibility for health care coverage and clarify any managed care arrangements. Verify appropriate accounts are active and associated with services to be received. Confirm authorizations for imaging procedures. Enter all information accurately into OHSU databases or into the medical record when necessary. Follow up on pending authorizations until they are obtained.

Managed Care Coordination: - Maintains current information on managed care insurance plans and serves as a liaison and information resources for physicians, nursing support staff, PAS specialists, referring physician offices, patients, Hospital Operations Support and others on authorization requirements; serves as a service area resource ICD9 coding requirements; obtains managed care authorizations for consultations, procedures, office visits, care arrangements, and contact other ancillary and clinical services as needed; problem solves and negotiates skills in resolving patient concerns and managed care related problems. Radiology/Surgery Scheduling: - Schedules multifaceted patient appointments on line, and manually if necessary in all modalities of Diagnostic Imaging Services. Maintains current information regarding schedules for resources and providers. Serves as liaison and information resource for physicians, nursing  support staff, coworkers, IP Admitting Department, Surgery Office, and Periop Services. Collects from physician and clinics all information necessary order information to schedule a scan (including ICD9 codes, diagnosis, equipment needs, etc.). Facilitates care arrangements by scheduling IRU time, preops, PAT clinic, ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving provider and patient concerns and other imaging related problems. Customer Service: -  Provide high quality customer service to both external customers (patients, referring providers, clinics, insurance carriers) and internal customers (OHSU health care providers, staff) that exceed the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face and telephone customer contact skills, crisis management, familiarity with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills. Enrollment & Authorization: - Gather and/or verify patient information including demographics, insurance coverage, and financial status. Confirm patient eligibility for health care coverage and clarify any managed care arrangements. Verify appropriate accounts are active and associated with services to be received. Confirm authorizations for imaging procedures. Enter all information accurately into OHSU databases or into the medical record when necessary. Follow up on pending authorizations until they are obtained.

- Provide 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, primarily as a phone operator and scheduler, facilitate with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills. Gather and/or verify patient information including demographics, insurance coverage and financial status. Enter all information accurately into OHSU databases and scheduling system. Scheduling of Departmental and ancillary appointments per guidelines and protocol. - Triage and document accurately telephone calls from patient including requests for medication refills, complaints, general information inquiries and urgent health care concerns. Facilitate retrieval of required information and delivers such information or requests promptly per Departmental protocol. - Successfully completes 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.

- Provide 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, primarily as a phone operator and scheduler, facilitate with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills. Gather and/or verify patient information including demographics, insurance coverage and financial status. Enter all information accurately into OHSU databases and scheduling system. Scheduling of Departmental and ancillary appointments per guidelines and protocol. - Triage and document accurately telephone calls from patient including requests for medication refills, complaints, general information inquiries and urgent health care concerns. Facilitate retrieval of required information and delivers such information or requests promptly per Departmental protocol. - Successfully completes 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.

Documentation and Charges  - Collects all appropriate collateral documentation for client, doctor, etc. and ensures all required signatures are collected. Completes all required notes and documentation in Epic for all services provided that meets expectations of OAR 309-019-0140 Service Plan and Service Notes. Completes appropriate Epic charge entry related to services delivered. Works with PAS Resource Specialist on required insurance authorization documentation as necessary or required.   Culturally Competent Care and Interpretation - Provides culturally competent care and linguistic/interpretation services for specific client population. Provides linguistic/interpretation services during co-facilitated patient/doctor visits. Ensures that client needs are appropriately addressed serving as interpreter/facilitator for both patient and doctor. Assists medical provider and administrative staff in scheduling subsequent doctor visits. Patient Referrals and Intakes - Triages inquiries from potential clients, family members and/or service providers regarding scope of treatment and services provided by IPP. Collaborates with medical providers in reviewing cases and scheduling clients for psychiatric evaluations and follow-up. Adhering to OAR 309-019-0135 Assessment and Treatment Planning - Conducts mental health assessment and annual mental health assessment updates, and develops and revises treatment plans. Adhering to OAR 309-019-0135; 309-019-0140.  Case Management - Assists in coordinating client care with other providers. Assists patients in gaining access to community services. Responds appropriately to patient needs related to mental health treatment, including need for urgent therapeutic interventions. Conducts outreach home visits as necessary.  Individual, Group and Family Services - Conducts individual, group and family therapy using evidence-based interventions.  Conducts individual and group skills training and related services.  Clinic Operations - Assists with general clinic operations, including scheduling of transportation for clients, responding to language-specific telephone inquiries, and other appropriate duties as needed. Staff Meetings and Development - Attends and actively participates in required staff meetings, development activities, and utilization review. Attends required supervision sessions with designated supervisor. Prevention, Education and Outreach - Conducts prevention, education, and outreach activities as specified in county contracts to serve OHP members. Research/Grant Activities - May provide limited assistance to medical staff in performing research/grant specific to the activities carried out in the Intercultural Psychiatric Program.