Revenue Cycle Specialist Follow-up 1 (Patient Account Representative 1)

Department Overview:

The 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.

Function/Duties of 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 Home Infusion 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 assigned

Required Qualifications:

• 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. 

Preferred Qualifications:

• High school diploma or equivalent OR Related experience as defined below
• Two years of recent (within the last 5 years) experience with billing and collections in a health care environment, including knowledge of HIPAA regulations, procedural and diagnosis codes; OR Equivalent combination of education and experience.

Additional Details:

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.  

All are welcome: 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.