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 processes and documents transactions on insurance accounts and interacts with insurance companies and agencies in resolution of unpaid balances, refunds, and other Professional billing issues.
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.
Job Related Knowledge, Skills and Abilities (Competencies):
Schedule: Flexible 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.
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