***Available for Remote Work*** 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.
Provide descriptive statements which outline the purpose of the position. 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. Professional billing position will be working with a multi-specialty team of approximately 15 members. Providing follow-up services for unpaid or denied insurance claims such as use of insurance websites, phoning insurance plans, communicating with peers, leadership, coders, department liaisons and possibly directly with departments. This position does have production standards and require completion of a Certified Revenue Cycle Specialist examination within 18 months of hire.
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. Attending virtual team huddles meetings.
Review Dermatology and 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 and other duties as assigned.
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. Education: High school diploma or equivalent Experience: 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 Equivalent combination of education and experience. 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. Knowledge in Dermatology, specifically insurance claim denial and/or nonpayment of insurance claims processing. Employee can choose between five eight hour shifts or four nine hour shifts and one four-hour shift or four ten-hour shifts.
Benefits: Two raises per year – One at anniversary date and one across the board annual increase
Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
Two separate above market pension plans to choose from
Vacation- up to 200 hours per year depending on length of service
Sick Leave- up to 96 hours per year
8 paid holidays per year
Substantial Tri-met and C-Tran discounts
Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP)
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 or .
