Patient Account Representative 2

OHSU•Portland, OR

58d•Remote

About The Position

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 Insurances balances. The PAR 2 specializes in providing excellent customer service to patients, responsible parties, and representatives from 3rd party payers, and other OHSU and FPP employees.

Requirements

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.
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.

Nice To Haves

High school diploma or equivalent OR Related experience as defined below.
Knowledge in ECA reporting tools.

Responsibilities

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.
Other duties as assigned.