Department Overview

OHSU is Oregon’s only public academic health center. We are a system of hospitals and clinics across Oregon and southwest Washington. We are an institution of higher learning, with schools of medicine, nursing, pharmacy, dentistry and public health – and with a network of campuses and partners throughout Oregon. We are a national research hub, with thousands of scientists developing lifesaving therapies and deeper understanding. We are a statewide economic engine and Portland’s largest employer. And as a public organization, we provide services for the most vulnerable Oregonians, and outreach to improve health in communities across the state.

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. The assignment will be flexible depending on payor mix, patient flow, and workload fluctuations. This level is distinguished from the lower level by a higher level of decision-making and analysis and broader scope of responsibility.

Function/Duties of Position

Customer Service:

• Receive incoming phone calls relating to issues with patient account, completing 66 incoming calls each day.
• Process patient request to combine accounts and set up payment arrangements
• Review for inappropriate charges
• Determine which accounts should be escalated to supervisor attention
• Take necessary steps to resolve customer concerns
• Respond to 10 pieces of written correspondence each day.

Patient Counseling and Collections:

• Analyze delinquent accounts with regard to billing and payment history. Determines appropriate follow-up action based on departmental guidelines; trace and locate debtor by telephoning and/or sending written correspondence.
• Arrange appropriate payment plan within prescribed guidelines; request and review documentation of financial information regarding ability to pay and eligibility for financial allowances.
• File claims to estates of deceased patients.
• Determines which accounts should be referred to external collection agencies; prepare accounts for transmittal to collection agencies and/or other State agencies when internal collection efforts are determined to be inadequate
• Provide information to outside agencies involved in collection action or legal action against debtor

Billing:

• Submit bills that comply with all appropriate regulations, managed care contracts to third party payors 
• Calculate the correct reimbursement of all managed care claims

Required Qualifications

• 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.

Registrations, Certifications and/or Licenses:

• Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire

Preferred Qualifications

• Recent (within one year of date of hire) Microsoft Office Suite experience in Windows environment with skill in document production using WORD, spreadsheet construction in EXCEL
• Experience in billing Hospital claims or UB-04 claims.
• Knowledge of and experience in interpreting managed care contracts.
• Familiarity with DRG, CPT, HCPC and ICD-10 coding

Job Related Knowledge, Skills and Abilities (Competencies):

• Typing 45 wpm
• Ability to use multiple system applications
• Demonstrate ability to communicate effectively verbally or in writing.
• Demonstrate ability to process detail oriented and analytical work.
• Demonstrate ability to prioritize and accomplish multiple tasks in a fast paced environment; consistently adhering to defined due date

All are welcome

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 aaeo@ohsu.edu.