Job Description
Department Overview:
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.
As a Revenue Cycle Specialist (Patient Account Rep) you will primarily processes and documents transactions on insurance accounts and interacts with insurance companies and agencies in resolution of unpaid balances, refunds, and other billing issues. Key responsibilities include process transactions on insurance accounts, ensure account is set up correctly, problem resolution, appeal and audit transaction activity. Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions. Attending virtual team huddles and meetings. Performing and documenting quality assurance reviews on transactions in department. Prioritize assigned accounts to maximize aged AR resolution. Trending provider activity and the denials that may arise. Researching and forwarding documentation for Revenue Cycle Business Analyst to present to the department, including updating files with current regulations, policies and procedures. Promote and implement LEAN processes and other duties as assigned.
Function/Duties of Position:
Benefits:
***Available for Remote Work***
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.
As a Revenue Cycle Specialist (Patient Account Rep) you will primarily processes and documents transactions on insurance accounts and interacts with insurance companies and agencies in resolution of unpaid balances, refunds, and other billing issues. Key responsibilities include process transactions on insurance accounts, ensure account is set up correctly, problem resolution, appeal and audit transaction activity. Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions. Attending virtual team huddles and meetings. Performing and documenting quality assurance reviews on transactions in department. Prioritize assigned accounts to maximize aged AR resolution. Trending provider activity and the denials that may arise. Researching and forwarding documentation for Revenue Cycle Business Analyst to present to the department, including updating files with current regulations, policies and procedures. Promote and implement LEAN processes and other duties as assigned.
- Process transactions on insurance accounts; ensure account is set up correctly, problem resolution, appeals and audit transaction activity.
Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions.
Review a variety of general and specialty Plastics, Trauma claims including third party claims (i.e. MVA settlements, workers compensation claims.- Performing and documenting quality assurance reviews on transactions in department.
Prioritize assigned accounts to maximize aged AR resolution.
Trending provider activity and the denials that may arise.
Researching and forwarding documentation for Revenue Cycle Business Analyst to present to department, including updating files with current regulations, policies, and procedures.
Promote and implement LEAN processes and other duties as assign.
- Two years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR
Four years of general collection, billing or customer service experience; OR
Equivalent combination of education and experience.
Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire.
Job Related Knowledge, Skills and Abilities (Competencies):
- Must be able to work with a diverse team and customer base.
- Accurate data entry skills, ability to work with deadlines while remaining calm, flexible, and organized.
- Excellent communication, both written and verbal and listening skills.
- Able to use reason and logic to independently solve problems and to multi-task as needed.
- Proficiency with standard office equipment and software such as such as Microsoft Office, knowledge of Healthcare Information Systems.
- Must be able to perform the essential functions of the position with or without accommodation.
- High school diploma or equivalent OR Related experience as defined below.
Ability to work from home, Flexible schedule Monday - Friday during regular business hours 5am to 7:30pm employee can choose between five eight hour shifts or four nine hour shifts and one four-hour shift or four ten-hour shifts.
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)
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