Pediatric Neurology PAS Specialist

Department Overview This position directly supports the Pediatric Neurology practice by providing high-quality customer service through prompt and professional communication, excellent problem‑solving skills and by functioning as a team member. This position is responsible for being a liaison between the OHSU providers and patients, notifying patients of required follow‑ups, scheduling visits, processing referrals for medical review, managing correspondence with the referring providers, verifying insurance and preparing materials for clinic. The PAS Specialist schedules any new or follow‑up clinic appointments and ancillary procedures, they manage all incoming faxes, process mail coming in and mail needing to go out to patients and answer incoming calls to the Pediatric Neurology call queue. This is a full‑time position. Regular attendance is a requirement for effective facilitation of patient care on our team. Function / Duties of Position Schedules clinic appointments and ancillary procedures; makes appointment reminder calls; requests, receives and prepares previous medical history, scans and lab results for new patients. Arranges ancillary appointments and interpreters when necessary and accommodates other special needs whenever possible. Provides personal reminders by telephone to patients about upcoming appointments. Arranges associated clinical, diagnostic, or laboratory services; obtains authorizations when necessary. Directs patients to appropriate providers for other health care issues. Contacts primary care physicians or their designees to obtain authorizations for urgent care. Schedules return appointments; initiates authorization requests for subsequent care. Mails new patient information packets to new patients. Process incoming mail and faxes. 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; confirms and/or obtains prior approval referrals and authorizations for clinic visits and procedures; provides necessary materials to front desk staff. Responsible for the follow up work queue to investigate missing information or denied claims. Assist with letters to appeal denied claims. Aids managed care authorizations for all consultations, procedures, office visits, and care arrangements by scheduling appointments and contacting other ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving managed care related issues with patients. Provides high‑quality customer service to both external customers (patients, referring providers, and insurance carriers) and internal customers 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 skills, facilitation with available information, technology, responsiveness to internal/external customers’ needs and requests, flexible coverage of internal services needs and the continuous process improvement methods and skills. Helps investigate the nature of and solve communication problems between specialty offices and/or hospital. Edits and sends letters to outside providers. Required Qualifications Six months of work experience in a medical office setting, including high volume direct patient contact OR One year of work experience in a high-volume direct public contact position Note: Successful completion of a formal OHSU Administrative Internship Program will substitute for one year of experience. Knowledge and Skills Required Basic computer keyboarding skills including typing of 30 - 45 wpm. Proficiency in Microsoft Word, Basic Excel Knowledge of how to operate office equipment, medical terminology, multi‑line phone experience and data entry. Spelling and language skills are an asset. Excellent oral and written communication skills and a strong customer service orientation. Demonstrated effectiveness in confrontational customer interactions. Must have professional appearance and be a team player. Preferred Qualifications High school diploma or equivalent Pediatric medical office setting preferred Prior experience in a Pediatric surgical specialty preferred Prior experience working in high call volume setting Working knowledge of CPT and ICD‑10 coding preferred Additional Details Hours may fluctuate; primary schedule is Monday through Friday 8:30 AM - 5:00 PM. This position is in busy clinical and office environments with many interruptions, multiple demands and people interactions in a shared office space. Requires prioritization of multiple projects, activities, and assignments. Frequent interruptions in an environment of frequent change and fluctuations. May be exposed to excessive auditory and visual stimulation. #J-18808-Ljbffr Oregon Health & Science University