Patient Account Representative

Oregon Health & Science University; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

Oregon Health & Science University is seeking a billing specialist to manage insurance accounts and ensure proper transaction processing. The role involves significant interaction with insurance companies and requires skills in data entry, communication, and problem-solving. Candidates should have experience in healthcare billing and must attain CRCS certification within 18 months of hire.

Qualifications

• Two years of experience in billing or collecting healthcare accounts.
• Ability to work with a diverse team.
• Proficiency in problem-solving and data entry.

Responsibilities

• Process and document transactions on insurance accounts.
• Communicate with staff and third-party customers for account resolution.
• Perform quality assurance reviews on transactions.

Skills

Data Entry

Communication

Problem-Solving

Teamwork

Education

High school diploma or equivalent

Certified Revenue Cycle Specialist (CRCS)

Tools

Microsoft Office

Healthcare Information Systems

Job description

Department Overview

OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state.

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 customersincluding departments and insurance companies to ensure timely andaccurate 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 indepartment

• Prioritize assigned accounts to maximize aged AR resolution

• Trending provider activity and the denials that may arise

• Researching and forwarding documentation for Revenue Cycle BusinessAnalyst to present to department, including updating files with currentregulations, policies, and procedures

• 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.

Job Related Knowledge, Skills and Abilities(Competencies):

• 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

Preferred Qualifications

• High school diploma or equivalent OR Related experience as defined below.

Additional Details

Schedule: FlexibleMonday - 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 fourten-hour shifts

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 [e-mail].