Patient Account Representative 1

  • OHSU
  • Portland, OR
  • Always hiring · open 90+ days
About the role · show the full description
• Processing transactions on customer accounts, including account set up in registration, problem resolution and auditing transaction activity. • Researching insurance websites for patient eligibility, authorizations and accuracy of effective dates. • Review accounts and charges on multiple levels before claims are sent to clearinghouse. Working Smart Edits and reviewing trends to take to management. • Analyzing claims with multiple payers and editing EOB information if incorrect. • Communicate professionally with OHSU staff and third party customers including departments and insurance companies to ensure timely and accurate processing of account transactions. • Analyzes billing to determine medical records necessary to provide complete processing of claims. • Maintain knowledge of current industry standards by updating workflows as needed. • Promote and implement LEAN processes. • Other duties as assigned. • 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. • Accurate data entry skills, ability to work with deadlines while remaining calm, flexible and organized. • CRCS is required within 18 months of hire. • Experience with the Epic billing system. • 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. • Accurate data entry skills, ability to work with deadlines while remaining calm, flexible and organized. • CRCS is required within 18 months of hire. • Experience with the Epic billing system.

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