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.

 

This position primarily reviews processing documentation by insurance companies posted to patient accounts. Individual will interact with insurance companies and agencies in resolution of unpaid balances, refunds and other billing issues, and other duties as assigned. This is a production based position.

• 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 (Add department specific info here) and 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

• 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. Positions outside of Patient Business Services may not require certification.

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

• 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.

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.