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.
• Attend virtual team huddles meetings.
• Review Primary Care, Immediate Care and third-party claims (i.e. MVA settlements, workers compensation claims).
• Perform and document quality assurance reviews on transactions in department.
• Prioritize assigned accounts to maximize aged AR resolution.
• Trending provider activity and the denials that may arise.
• Research and forward documentation for Revenue Cycle Business Analyst to present to department, including updating files with current regulations, policies, and procedures.
• Promote and implement LEAN processes.
• Other duties as assigned.

• 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.

• 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 Microsoft Office.
• Knowledge of Healthcare Information Systems.
• Certified Revenue Cycle Specialist within 18 months of start date.

• High school diploma or equivalent.
• Knowledge in Gastroenterology, Nephrology.
• Dermatology experience a plus in addition to prior claims processing, including knowledge of HIPAA regulations, procedural and diagnosis codes.

Ability to work from home. Flexible schedule Monday - Friday during regular business hours 5:00am 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.