Providence Health & Services Accounts Receivable Specialist in Portland, Oregon
Providence is calling an Accounts Receivable Specialist to Providence Health and Services in Portland, OR.
We are seeking an Accounts Receivable Specialist to be accountable for reviewing payment vouchers and identifying issues and trends with payment posting or payor processing.
In this position you will:
Review ERAs, remittance codes, remark codes, and identify payor issues.
Extract, review and interpret billing statements, payor changes, private or government insurance benefits, and other related information from multiple billing and documentation servers (for multiple hospitals, clinics and insurance companies).
Ensure appropriate use of remittance codes and remark codes to allow for appropriate workflow and trending.
Proactively identify opportunities to improve business results and/or to alert business units of trends, anomalies or health plan rules and decisions that need attention.
Escalate unresolved issues appropriately and recommend solutions to minimize future problems.
Meet primary productivity and performance standards.
Make appropriate decisions on account activity consistent with approved authority levels.
Required qualifications for this position include:
A high school diploma or GED equivalent.
Minimum two (2) years of experience in automated, computerized account follow-up system, preferable in a hospital setting, health insurance claims processing or medical office.
Preferred qualifications for this position include:
Knowledge in reimbursement of health care accounts from insurance companies.
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. 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: Billing / Insurance
Req ID: 182827