Patient Account Representative

Oregon Health & Science University•Portland, OR

2d•Remote

About The Position

This is a work from home/production-based position. 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. 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 (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. Promote and implement LEAN processes. Other duties as assigned.

Requirements

Two years of recent (within the last 5 years) experience with billing and collections in a health care environment; 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.
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.

Responsibilities

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.
Promote and implement LEAN processes.
Other duties as assigned.