This position primarily processes and documents transactions on key accounts and acts as a resource to other staff for troubleshooting and resolving difficult account issues. The Patient Accounts Representative 2 (PAR 2) processes billing for Professional and clinic patient charges and is responsible for the collection and resolution of insurance balances. The PAR 2 specializes in providing excellent customer service to patients, responsible parties, and representatives from third party payers and other OHSU and FPP employees.

• Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions.
• Uses independent decision making in the moment acting as patient advocates in helping customers/patients satisfactorily resolve issues with our “one touch” philosophy. Each interaction will be handled promptly, efficiently, and courteously.
• Uses independent judgment to decide when to process Insurance adjustments.
• Identifies trends in problematic billing processes and escalates issues and proposed solutions to management for resolution.
• Review Aged A/R along with WQ volume to independently prioritize work.
• Completes complex and variable billing claims for medical insurers, auto insurers, SAIF/Workers' Compensation insurers, managed-care contracts, special grants, government agencies and Student health clinics;
• Ensures that all billing information is complete and accurate; 
• Ensures that billing claims are coded correctly and transferred to the appropriate parties when coding errors are discovered.
• 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 assigned
  

• Four years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR
• Six years of general collection, billing or customer service experience; OR
• Equivalent combination of education and experience.
• Certified Revenue Cycle Specialist (CRCS) is required within six months of hire.

Job Related Knowledge, Skills and Abilities (Competencies):

• Knowledge of HIPAA regulations
• 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
• Able to use reason and logic to independently solve problems
• Ability to multi-task as needed
• Proficiency with standard office equipment and software such as such as Microsoft Office
• Knowledge of Healthcare Information Systems

• Familiar with Gastroenterology/Nephrology, Cardiology, Dermatology, Pediatrics, Gen Medicine (Allergy, Addiction Med, Endocrinology, Hospital Medicine, Infectious Disease, Internal Medicine, Pulmonology, Rheumatology)
• Knowledge in ECA reporting tools

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.

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 aaeo@ohsu.edu.