Patient Account Representative 1

Job description

• 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.