- 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.
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