Providence Membership Accounting Specialist Lead in Beaverton, Oregon
Providence St. Joseph Health is calling a Membership Accounting Specialist Lead to our location in Beaverton, OR.
We are seeking a Membership Accounting Spec Lead to be responsible for improving the quality of service provided to Health Plan members and groups through training and other activities. The Team Lead is the primary resource and subject matter expert within the team, as well as to other departments in the following areas: member and/or group eligibility, premium billing and payment reconciliation. This position will be the key support for the team for day to day work issues. The Team Lead will also diffuse escalated calls and work with other departments on issues that may arise, they will reach out to other teams as needed to support this work.
In this position you will have the following responsibilities:
Provide constructive feedback on caregivers; work on continuous caregiver development and growth opportunities with Supervisor/Manager.
Conducts 1:1 small group training sessions utilizing workflows or other written material.
Contribute toward team cohesiveness and efficiency; participate as a 'team player', supporting co-workers while setting an example of high personal and professional conduct for co-workers and others.
Participate in cross functional teams and departments for continuous process improvement.
Provide recommendations and observation summaries to the Team Managers on opportunities identified during the service observation processes.
Coordinate with Health Plan departments outside Operations to ensure that new and existing information is incorporated into the Operations documentation.
Identify ongoing needs assessment and work with the TQAC to develop training based on findings in the areas Eligibility, Billing/Reconciliation and Member Services.
Help prioritize workloads of caregivers.
Required qualifications for this position include:
2 years relevant health insurance experience.
Excellent verbal and written skills.
Preferred qualifications for this position include:
Bachelor's Degree or 3 years health insurance experience in Customer Service or Membership Accounting with emphasis in Medicare guidance.
Facets navigation skills.
About Providence in Oregon.
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Claims
Req ID: 282555