Providence Health & Services Accounts Receivable Specialist - Physician Billing in Portland, Oregon
Providence St. Joseph Health is calling a Accounts Receivable Specialist -Physician Billing to Providence Office Park in Portland, OR.
In this position you will have the following responsibilities:
Maintain up-to-date working knowledge of payer requirements for certification of care, billing requirements, coordination of benefits, and benefit coverage for payers.
Review all credits created on an account. Research, analyze payments, adjustments, coordination of benefits and contracts for correct resolution.
Interpret denials from insurance companies, determining if we can assist the customer in challenging the denial. Notify and educate the Customer on options they can pursue in reversing the denial.
Responds to incoming customer service inquiries from patients, guarantors, insurance companies, physician offices, attorneys, and other service partners.
Calculate and process changes to account balances following standard GAAP.
Interpret benefits, payments, discounts, co-pays and non-covered services. Educate customers of insurance benefits.
Required qualifications for this position include:
High school degree with some college level course work.
2 years of health care account management experience, preferably in a hospital setting, health insurance claims processing or medical office.
Knowledge of Managed Care insurance environment.
Preferred qualifications for this position include:
Four year college degree in business or health care business.
Understanding of Revenue Codes, ICD10, CPT codes.
Solid understanding of basic accounting techniques (debits & credits).
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.
We offer a full comprehensive range of benefits - see our website for details
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 Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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: 207054