Providence Health & Services Lead Accounts Receivable Specialist - Hb Govt Billing Follow Up Wamt in Portland, Oregon
Providence St. Joseph Health is calling a Lead Accounts Receivable Specialist (Full-Time, Day Shift) - Telecommute - CA,OR,WA,AK,MT,NM,TX - Only
We are seeking a Lead Accounts Receivable Specialist who will be working accounts receivables for accounts and/or for follow up or denials for patient accounts.
The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.
In this position you will:
Extract, review and interpret billing statements, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers (for multiple hospitals, clinics and insurance companies) while resolving account balances.
Ensure appropriate use of adjustment codes and activity 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.
Must meet primary productivity and performance standards
Make appropriate decisions on account activity consistent with approved authority levels.
Required qualification for this position include:
High school diploma or GED equivalent
Minimum two (2) years experience in automated, computerized account follow-up system, preferable in a hospital setting, health insurance claims processing or medical office
Minimum two (2) years experience in billing and collection of health care accounts, including the ability to balance and clearly explain account activity
Preferred qualification 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 comprehensive, best-in-class benefits to our caregivers. For more information, visit
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 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.
Job Category: Billing/Insurance
Other Location(s): Montana, California, New Mexico, Oregon, Washington, Texas, Alaska
Req ID: 297754