Customer Service Rep (Patient Account Representative 1)

Job description

Department Overview 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. Assignment will be flexible depending on payor mix, patient flow, and workload fluctuations. Function/Duties of Position: Billing: - Submit bills that comply with all appropriate regulations, managed care contracts to third party payers. - Calculate the correct reimbursement of all managed care claims. Third Party Follow-up and Collection: Other duties as assigned within the scope of the established class specs. To also include activities that are classified as team support and environmental activities. - Within the stratified processing environment, collect assertively and proactively money due OHSU by contacting (through telephoning, emailing, and/or accessing on-line systems) third parties (insurance carrier, various government programs, etc.). - Provide explanation of charges and additional requested information to the third parties. - Analyze accounts to determine coordination of benefits, refunds, and denials to insure app...