Revenue Cycle Specialist Float Follow-Up 4 (Patient Account Representative 2) in Portland, Oregon at Portland, OR (Downtown)

• Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions.
• Uses independent decision making in the moment acting as patient advocates in helping customers/patients satisfactorily resolve issues with our “one touch” philosophy. Each interaction will be handled promptly, efficiently, and courteously.
• Uses independent judgment to decide when to process Insurance adjustments.
• Identifies trends in problematic billing processes and escalates issues and proposed solutions to management for resolution.
• Review Aged A/R along with WQ volume to independently prioritize work.
• Completes complex and variable billing claims for medical insurers, auto insurers, SAIF/Workers' Compensation insurers, managed-care contracts, special grants, government agencies and Student health clinics;
• Ensures that all billing information is complete and accurate;
• Ensures that billing claims are coded correctly and transferred to the appropriate parties when coding errors are discovered.
• 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
  

Job Related Knowledge, Skills and Abilities (Competencies):

• Knowledge of HIPAA regulations
• 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
• Able to use reason and logic to independently solve problems
• Ability to multi-task as needed
• Proficiency with standard office equipment and software such as such as Microsoft Office
• Knowledge of Healthcare Information Systems

• Familiar with Gastroenterology/Nephrology, Cardiology, Dermatology, Pediatrics, Gen Medicine (Allergy, Addiction Med, Endocrinology, Hospital Medicine, Infectious Disease, Internal Medicine, Pulmonology, Rheumatology)
• Knowledge in ECA reporting tools