OHSU is Oregon's only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland's largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state. The Surgery Scheduler in the Center for Women's Health is responsible for scheduling and coordinating all surgeries and L&D procedure requests. This position serves as liaison and information resource for physicians, clinical support staff, Perioperative Services and patients.
OR surgery scheduling/care coordination for SOR, CHH, DCH Receive surgery requests (Consult to OR) via Epic work queues Schedule pre-op/post-op, Pre-Medicine Clinic and pre-surgery COVID test appointments Communicate surgery logistics to patients via phone/MyChart Submit surgery case to OR scheduling department via Epic Monitor SOR, CHH and DCH grids to maintain accurate, up-to-date Outlook calendars for each department Notify external vendors and OR schedulers to ensure that all necessary equipment is availability Coordinate with OHSU co-surgeons and their practice surgery schedulers and other internal and external care providers/departments as needed for medical clearance prior to surgery and postoperative care following surgery Communicate and coordinate with CWH/OHSU social workers, caregivers, residential facility staff etc. to arrange for medical transportation to surgery and related appointments and ensure appropriate lodging/RPV accommodations have been made Ensure that the appropriate medical orders are in place for surgery-related care (imaging, lab work, referrals, etc.) Ensure that all medical records are in place as requested by surgeon and obtain medical records, as needed Document all information and/or any surgery-specific changes/updates in Consult to OR referral notes Educate and communicate with patient and clinic staff regarding current CWH and OHSU policies related to surgery Manage, release, and transfer OR blocks and add-on requests via iQueue and Epic Apply problem solving and negotiating skills in resolving provider and patient concerns and other surgery related problems. Managed care for surgical cases: Complete insurance benefit checks for each surgery case Maintain working knowledge of diagnostic and procedural coding appropriate for the service area to provide accurate CPT and ICD-10 codes for benefit checks and prior authorization requests Maintain working knowledge of Oregon Health Authority Prioritized List and Medicare Inpatient Only List Obtain prior authorizations, as needed, by providing relevant clinical documentation and communicating with insurance companies for any follow-up information and status updates Communicate all necessary insurance and/or payment information to patients prior to moderate sedation, self-pay and/or flat-fee cases, and any other surgery cases, as needed Communicate with referring providers, primary care providers and/or co-surgeons, as needed, for insurance authorization purposes Investigate and process appeal requests for insurance prior authorization denials, coordinate peer-to-peer phone calls, obtain surgeon letters of medical necessity, additional medical records as requested by insurance companies and educate patients and surgeons on appeals process Submit cost estimate requests to Patient Estimates Department, upon request Enroll patients in RH program, as needed -Investigate surgery claim denials from No-Auth Work Queue and process claim appeals, as needed Initiate OHSU Financial Assistance exception requests on patient's behalf, as needed Educate patients, clinic staff and surgeons regarding insurance coverage, payment information, prior authorization and appeals processes Moderate sedation case scheduling and managed care: Receive moderate sedation case requests (Consult to OR) via Epic work queues Communicate with CWH care coordinators to ensure that patients are scheduled appropriately Manage/update Moderate Sedation Outlook calendar with scheduling changes Complete benefit checks and obtain prior authorizations, as needed Provide cost estimate statements and/or payment information to patients upon request L&D scheduling and managed care Receive surgery requests (Consult to OR) via Epic work queues Schedule elective induction of labor, cesarean sections, cesarean-hysterectomy, cerclage placements, cephalic versions in L&D Complete benefit checks and obtain prior authorizations, as needed Monitor L&D and SOR grids to maintain accurate, up-to-date Outlook calendars Schedule stress tests Fetal department surgery scheduling and managed care: Receive surgery requests (Consult to OR) via Epic work queues Monitor L&D and SOR grids to maintain accurate, up-to-date Outlook calendars Complete benefit checks and obtain prior authorizations for fetal echo appointments, genetic testing and other fetal related appointments, as needed Investigate and process denial for fetal office visits. Two years of front-line clerical experience in a clinical setting with direct patient contact. Experience must include scheduling of appointments and may require experience obtaining managed care authorizations. Preference given to candidates with knowledge of OHSU's PAS policies and procedures, with completed PAS training and core competencies, and with previous PAS experience Must be able to perform the essential functions of the position with or without accommodation. Job Related Knowledge, Skills and Abilities (Competencies): 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. High School Diploma Advanced PAS user skills as well as extensive knowledge of integrated care at OHSU Two years of experience working Managed Care in a clinic/hospital setting. Two years of experience working as a Surgery Scheduler for multiple Providers. One-year experience working in Women's Health. Extremely organized and meticulously detailed. Benefits: Two raises per year – One at anniversary date and one across the board annual increase Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation- up to 200 hours per year depending on length of service Sick Leave- up to 96 hours per year 8 paid holidays per year Substantial Tri-met and C-Tran discounts Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP) 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 or .
