Patient Account Representative 2

  • OHSU
  • Portland, OR
  • Always hiring · open 90+ days
About the role · show the full description
• Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions. • Uses independent decision making in the moment acting as patient advocates in helping customers/patients satisfactorily resolve issues with our “one touch” philosophy. Each interaction will be handled promptly, efficiently, and courteously. • Uses independent judgment to decide when to process Insurance adjustments. • Identifies trends in problematic billing processes and escalates issues and proposed solutions to management for resolution. • Review Aged A/R along with WQ volume to independently prioritize work. • Completes complex and variable billing claims for medical insurers, auto insurers, SAIF/Workers' Compensation insurers, managed-care contracts, special grants, government agencies and Student health clinics. • Ensures that all billing information is complete and accurate; ensures that billing claims are coded correctly and transferred to the appropriate parties when coding errors are discovered. • 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. • Four years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR • Six years of general collection, billing or customer service experience; OR • Equivalent combination of education and experience. • Certified Revenue Cycle Specialist (CRCS) is required within six 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. • High school diploma or equivalent OR Related experience as defined below. • Knowledge in ECA reporting tools. • Four years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR • Six years of general collection, billing or customer service experience; OR • Equivalent combination of education and experience. • Certified Revenue Cycle Specialist (CRCS) is required within six 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. • High school diploma or equivalent OR Related experience as defined below. • Knowledge in ECA reporting tools.

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