To bill, process adjustments, collect on accounts, and/or perform customer service duties to ensure that monies due University Hospital are secured and paid in a timely manner and the AR outstanding days of revenue are kept to a minimum. Assignment will be flexible depending on payor mix, patient flow, and workload fluctuations
Work Schedule, Hours, FTE, Salary Range
FTE 1.0, Full Time
Schedule: Monday-Friday 8am - 4:30pm
Salary Range: $18.51- $25.05
Location: Portland, OR
Job Type: Union Represented (AFSCME)
Functions/Duties of Position
Submit bills that comply with all appropriate regulations, managed care contracts to third party payors.
Calculate the correct reimbursement of all managed care claims.
Third party follow-up and collection:
Within the stratified processing environment, collect assertively and proactively money due OHSU by contacting (through telephoning, emailing, and/or accessing on-line systems) third parties (insurance carrier, various government programs, etc.)
Provide explanation of charges and additional requested information to the third parties.
Analyze accounts to determine coordination of benefits, refunds, and denials to insure appropriate resolution of accounts.
Review billing to determine medical records necessary to provide complete processing of claim.
Analyze accounts with regard to billing and payment history and uses judgment to determines appropriate follow-up action based on departmental guidelines
Contact patient/guarantor to resolve issues (includes tracing and locating patient/guarantor by telephoning and/or sending written correspondence.)
Analyze accounts and interpreting contracts that dictate how claims should be paid and processing adjustments for contract interpretation.
Comply with special billing and follow-up requirements regarding adoptions, court holds, motor vehicle and personal injury accidents, and other unique or sensitive accounts
Other duties as assigned within the scope of the established class specs. To also include activities that are classified as team support and environmental activities.
Complete all work with extreme accuracy complying with quality standards of unit
Handle a high volume of work in an efficient, timely manner complying with unit standards
Work well in a team environment
Maintain a positive attitude
Be punctual and maintain good attendance
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 one year of hire. Positions in School of Dentistry may not require certification.
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 503-494-5148 or email@example.com.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and r...esearch. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm