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Job ID: 2025-33636 Type: Regular Full-Time # of Openings: 1 Category: Hospital/Clinic Support Telecommuting
Overview
Process transactions on insurance accounts; ensure account is set up correctly, problem resolution, appeals and audit transaction activityCommunicate professionally with OHSU staff and third party customers including departments and insurance companies to ensure timely and accurate processing of account transactionsReview Home Infusion claims including third party claims (i.e. MVA settlements, workers compensation claims)Performing and documenting quality assurance reviews on transactions in departmentPrioritize assigned accounts to maximize aged AR resolutionTrending provider activity and the denials that may ariseResearching and forwarding documentation for Revenue Cycle Business Analyst to present to department, including updating files with current regulations, policies, and proceduresPromote and implement LEAN processes and Other duties as assigned Responsibilities
Two years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; ORFour years of general collection, billing or customer service experience; OREquivalent combination of education and experience.Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire. Qualifications
High school diploma or equivalent OR Related experience as defined belowTwo 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. Equal employment opportunity, including veterans and individuals with disabilities.
