Oregon Medical Group Patient Accounts Service Representative in Eugene, Oregon
Patient Accounts Service Representative
+ + Job Tracking ID: 512611-754828
Job Location: Eugene, OR
Job Type: Full-Time/Regular
Date Updated: January 13, 2021
- Starting Date: ASAP
Hours: Monday-Friday, 8 am-5 pm
Number of Openings: 1
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PURPOSE OF POSITION: By analyzing insurance reimbursement, processing denied claims for payment, processing insurance appeals and contacting patients and insurance carriers to insure proper reimbursement, the PASR serves the patients, providers and staff of Oregon Medical Group
TYPICAL PHYSICAL DEMANDS: Requires sitting for prolonged periods of time and some bending, stooping and stretching. Requires hand-eye coordination and manual dexterity necessary for the operation of basic office equipment such as a computer, calculator, photo copier and telephone. May be required to lift up to 25 pounds. Requires the ability to work quickly and accurately under stress.
TYPICAL WORKING CONDITIONS: Work is performed in an office environment. Involves frequent contact with patients and internal staff.
EXAMPLES OF DUTIES:
Apply billing and coding principles consistent with government regulatory standards, payer specific guidelines of the health plans and OMG policy. Assist physicians and other clinic staff with billing and coding related questions.
Answer patient calls according to OMG policy. Identify and resolve patient payment and insurance billing complaints.
Review and process denied claims. Send appeal letters to insurance carriers as needed.
Assist with solving payment and reimbursement problems. Research patient and insurance credit balances for refunds and/or adjustments.
Process delinquent letters. Prepare documentation for accounts being transferred to the collection module.
Open, sort and deliver mail, including interoffice correspondence to the appropriate departments. Process mail returns.
Post incoming payments and adjustments, including credit card payments onto patient accounts.
Maintain work area and lobby in a neat and orderly manner. Greet patients and visitors promptly and courteously, while routing them to the appropriate individual or department.
Coordinate internal mailing through direct mail services.
Maintain strictest confidentiality.
Work on assigned projects as needed.
Perform other duties as assigned.
Experience and Skills:
PERFORMANCE REQUIREMENTS: Knowledge of reimbursement and claims processing procedures to include billing and collection practices. Basic CPT & ICD-10 coding knowledge. Knowledge of clinic operating policies. Skill in using computer and calculator. Able to examine documents for accuracy and completeness. Able to prepare records in accordance with detailed instructions. Ability to work effectively with patients and co-workers. Ability to communicate clearly, both verbally and in writing.
EDUCATION: Equivalent of a high school diploma.
EXPERIENCE: 1-2 years’ experience in medical billing office, to include processing claims and a working knowledge of CPT, ICD-10 and HCPCS coding.