The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care.
Read more about the School of Dentistry: http://www.ohsu.edu/xd/education/schools/school-of-dentistry
The Hospital Dental Services (HDS) PAS Resource Specialist (Surgery Scheduler/Managed Care Specialist) is primarily responsible for the coordination of managed care insurance and special patient group processes.
The PAS Resource Specialist acts as guidance for PAS Specialists and other staff in the areas of health care contract terms, complex patient referrals, and other managed care issues. This position is also responsible for managed care authorizations for all consultations, procedures, office visits and care arrangements.
This position is responsible for knowing HDS clinic policies including but not limited to appointment scheduling, payments, and insurance, and must be able to communicate these policies with patients, students, faculty, 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.
The PAS Resource Specialist will provide assistance in the use of the PAS network software. Experience with OHSU network applications, to include workqueues, the referral shell, Cadence, and viewing of Resolute preferred. An understanding of access CIM/MMIS for both medical and dental coverage is preferred. This position performs in a manner which maintains the confidentiality and privacy of each patient, promotes positive health habits through appearance and attitude. Supports and adheres to the Code of Conduct and Policies and Procedures of both OHSU Hospital and clinics and Hospital Dental Services; models ethical and appropriate behavior, professional standards, compliance and personal integrity; adheres to the rules and regulations of CMS and DNV standards.
One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and obtaining managed care authorizations
Must have a thorough knowledge of PAS policies and procedures
Demonstrated advanced PAS user skills as well as extensive knowledge of integrated care at OHSU
Experience with general practice, oral maxiofactial, and/or pediatrics
Experience with electronic scheduling, managed care and documentation systems (referrals, authorizations)
Demonstrated exceptional customer service
Experience with high volume multi line phone system
Basic computer skills, including MS Word and Excel, knowledge of Windows applications
Excellent customer service skills, including verbal and written communications skills
Demonstrated knowledge of managed care intricacies including appropriate timelines, paperwork, regulations, communication and follow-up are also required
Working knowledge of managed care and referral and authorization processes
Demonstrated problem solving and negotiation skills in resolving patient concerns, scheduling challenges, and managed care related problems
Demonstrated reliable attendance record
Working knowledge and understanding of medical terminology
Ability to multi-task in a high volume situation
Ability to problem solve and retain pertinent information
Professional appearance and demeanor required
Must be able to share office space with other coworkers and able to multi-task in a high-volume clinic
Must be able to sit long periods of time, as well as spend 80% of time on telephone usage
Must be able to perform the essential functions of the position with or without accommodation
1 year of customer service experience in a PAS Resource Specialist/Surgery Scheduling position
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 email@example.com.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm