Revenue Cycle Specialist – Follow-up 1, Patient Account Representative 1
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Job Description
Revenue Cycle Specialist at OHSU managing insurance accounts and resolving billing issues. Handle interactions with insurance companies and perform quality assurance on transactions.
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 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.
- Other duties as assigned.
Requirements:
- 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 (CRCS) is required within 18 months of hire.
Benefits:
- Healthcare for full-time employees covered 100% and 88% for dependents.
- $50K of term life insurance provided at no cost to the employee.
- Two separate above market pension plans to choose from.
- Vacation - up to 200 hours per year dependent on length of service.
- Sick Leave - up to 96 hours per year.
- 9 paid holidays per year.
- Substantial Tri-Met and C-Tran discounts.
- Employee Assistance Program.
- Childcare service discounts.
- Tuition reimbursement.
- Employee discounts to local and major businesses.
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