Revenue Cycle Specialist Follow-up 4 - PAR 1 (Patient Account Representativ at Oregon Health & Science University

, , United States -

Full Time

Start Date

Immediate

Expiry Date

13 May, 26

Salary

0.0

Posted On

12 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Account Processing, Unpaid Balance Resolution, Refund Processing, Professional Billing Issues, Appeals, Audit Transaction Activity, Professional Communication, Claims Review, Quality Assurance Reviews, Aged AR Resolution, Denial Trending, LEAN Processes, Data Entry, Problem Solving, Multi-tasking, Microsoft Office Proficiency

Industry

Higher Education

Description

Department Overview 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. Attending virtual team huddles meetings. Review Primary Care, Immediate Care 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. Required Qualifications 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 Microsoft Office. Knowledge of Healthcare Information Systems. Preferred Qualifications High school diploma or equivalent. Knowledge/experience in Dermatology a plus in addition to prior claims processing, including knowledge of HIPAA regulations, procedural and diagnosis codes. Additional Details Ability to work from home. Flexible schedule Monday - Friday during regular business hours 5:00am - 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. 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. 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.

Responsibilities

This role primarily involves processing and documenting transactions on insurance accounts, interacting with insurance companies to resolve unpaid balances, refunds, and other professional billing issues. Duties include processing transactions, ensuring correct account setup, problem resolution, handling appeals, and performing quality assurance reviews.