- 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.
- Review 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.
- Two years of recent (within the last 5 years) experience with billing and collections in a health care environment, including knowledge of HIPAA regulations, procedural and diagnosis codes; OR
- Four years of general collection, billing or customer service experience; OR
- Equivalent combination of education and experience determined by hiring manager.
- 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.
- Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire.
- High school diploma or equivalent.
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