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.
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.
Attend virtual team huddles meetings.
Review Primary Care, Immediate Care and third-party claims (i.e. MVA settlements, workers compensation claims).
Perform and document quality assurance reviews on transactions in department.
Prioritize assigned accounts to maximize aged AR resolution.
Research and forward 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; 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.
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 Microsoft Office.
Knowledge of Healthcare Information Systems.

Revenue Cycle Specialist Follow-up 4 – PAR 1, Patient Account Representative

Key skills