PAS Resource Specialist at Oregon Health & Science University – Portland, Oregon

PAS Resource Specialist

US--Hybrid

Requisition ID: 2026-38782
Position Category: Hospital/Clinic Support
Job Type: AFSCME union represented
Position Type: Regular Full-Time
Posting Department: Rehab Administration
Posting Salary Range: $26.90 - $36.35 per hour with offer based on experience, education and internal equity
Posting FTE: 1.00
Posting Schedule: Monday - Friday
Posting Hours: 9:00am - 5:30pm
HR Mission: Healthcare
Drug Testable: No

Department Overview

The PAS Resource Specialist is responsible for handling all aspects of the authorization process for Rehabilitation Services outpatient appointments. This will include gathering appropriate and correct patient demographics, financial information, confirming correct health coverage including managed care arrangements, financial screening, worker compensation status, and non-covered service status. This position works closely with referring providers for treatment authorizations. This position is responsible for informing patients about the billing mechanisms and their financial liability for Department services. This position serves as an insurance and coding resource for all business and clinical staff in the department.

Function/Duties of Position

• Responsible for verifying patient eligibility and securing referral/authorization prior to the outpatient therapy appointment. The authorization process includes, but is not limited to, putting the referral information on-line, tracking the number of visits used per authorized, following up on referrals for return appointments, and other miscellaneous tasks. Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarify any managed care arrangements. Contacts primary care physicians or their designees to obtain authorizations for care as required. Obtains authorizations for therapy. Enters all information accurately into OHSU databases. Follows up on pending authorizations until they are obtained.

• Maintains current information on all managed care insurance plans and is up-to-date with all managed care insurance plan changes, utilizing information to efficiently and effectively obtain authorizations.

• When called upon to do so, shares business expertise and disseminates business and clinical information to PAS Specialists within the Department. Gives instruction to co-workers as needed in skills for business and clinical system software including Medilinks, RSS, Order Entry, and LCR. Maintains a service- based working knowledge of diagnostic and procedural coding. Fills in as needed for any subordinate business position within the service areas. Gives instruction for other business personnel pertaining to business processes and procedures as well as performance. Provides on the job training, orientation, guidance and coaching for new PAS personnel in the service area. May be required to distribute business duties within a defined work-group and to review work for conformance to standards. May be required to provide informational assessment of other PAS workers performance to the PAS Supervisor and/or the employment supervisor.

• Serves as a liaison and information source for other department support staff, therapists and referring providers/offices, OHSU Health Plan Office, patients, and insurance companies for authorization requirements per diagnosis and service type. Works closely with Patient Accounts to solve problems related to patient billing. Facilitates/monitors/processes Medicare standards.

• Other Duties as Assigned

Required Qualifications

• One year of experience in a medical office setting, including high-volume direct patient contact, scheduling of appointments and may require 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.

Knowledge and Skills Required:

• 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.

Preferred Qualifications

• One year of experience in a medical office setting, including high-volume direct patient contact and scheduling of appointments and obtaining managed care authorizations.
• Knowledge of medical terminology
• Strong customer service orientation
• Ability to manage competing priorities and meet deadlines, urgent patient needs, and system requirements
• Ability to work independently
• Demonstrated effectiveness in confrontational customer interactions. Previous Rehabilitation Scheduling and authorization work.

Additional Details

Center for Health and Healing 1, Beaverton, Murray, CDRC Locations, Remote

Ability to sit for up to four hours at a time, & bend to reach files. Ability to utilize standard computer and

keyboard for a minimum of four hours at a time.