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Providence Health & Services Account Resolution Specialist I in Oregon

Description:

Providence St. Joseph Health is calling an Account Resolution Specialist PSJH (Full-Time, Days) to our location in Portland, OR.

Please note: This role requires a six(6) weeks in office training using socially distanced requirements. Once training has been completed you will work a 100% remote, with the post-Covid expectation that candidates hired will be able to to work in office. Candidates must live within a reasonable commute of our local administration offices in Portland, OR.

We are seeking an Accounts Resolution Specialist to be contribute to the achievement of service delivery, performance standards, and financial targets by:

  • Receive inbound calls and make outbound calls to request payment of account balance, negotiate payment plans or utilize other account resolution methods while achieving established call quality standards.

  • Primary focus is self pay collection activity.

  • Ensuring PH&S patients have a positive customer experience while resolving patient accounts timely.

  • Monitors service level, Quality Assurance, Workforce Management, etc.

  • Work small balance, payment plan default and internal bad debt accounts.

  • Help to ensure Charity and Collection Activity is carried out timely, accurately, and with PH&S Missiona and Core Values in mind at all times.

  • Send specialized letters to assist with coordination of information between patients and insurance companies to obtain payment on claims.

  • Review accounts and prescreen patients for potential financial assistance discounts.

  • Review potential bad debt accounts to determine suitability for outside collection efforts or bring to final resolution. Ensure that all known contract insurances have been properly billed and verify that the balance is true patient responsibility.

  • Analyze billing issues and patient questions to determine next course of action such as updating status codes and fiscal fields.

  • Log and resolve lower level patient complaints and refer more complex complaints to Customer Care Coordinators.

  • Follow-up on Collection Agency complaints as necessary across regions.

  • Research payment discrepancies by retrieving documents and coordinate appropriate corrections.

  • Request adjustments in line with company guidelines and approval authority limits.

  • Report recurring problems.

  • Maintain accurate, clear, concise, and complete account information in Providence Health & Services primary system.

  • Promote Providence Health & Services as a premier service organization by treating customers with compassion and respect and ensuring that service delivery targets are met.

  • Closely adhere to set schedules and handle time standards.

  • Maintain confidentiality of all patient demographic, medical, and financial information. Maintain confidentiality of all Providence Health & Services Revenue Cycle and client information. Ensure proper handling and disposal of confidential documents and adherence to all HIPAA rules and regulations.

  • Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as Providence Health & Services policies and procedures in all aspects of job performance.

Qualifications:

Required qualifications for this position include:

  • High school diploma or GED.

  • 2 years experience in customer service.

  • Note: Staff coming on board as “on-call” (non-benefited) may have the education and experience requirements waved.

Preferred qualifications for this position include:

  • Associates or Bachelor's degree.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

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.

About Us

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.

Schedule: Full-time

Shift: Day

Job Category: Billing/Insurance

Location: Oregon-Portland

Other Location(s): Oregon

Req ID: 312570

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