Patient Accounts Service Representative Details

Patient Accounts Service Representative

Oregon Medical Group - Eugene, OR

Employment Type : Full-Time

Job Description:

Featured Benefits:

• Medical, dental, and vision insurance
• 401(k) retirement plan with employer match
• Paid Time Off
• Education assistance and tuition reimbursement

To learn more about the benefits of working for Oregon Medical Group, visit https://oregonmedicalgroup.com/about-us/careers.html

Oregon Medical Group is seeking a Patient Accounts Service Representative to join our team, to provide critical support to patients and the organization. If you have a desire to help others, a knack for details and accuracy, and find joy in working collaboratively with a team to provide the highest quality patient-centered care, we want you to consider this employment opportunity!

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.

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.
• Process bankruptcies.
• 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.

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.

Full COVID-19 vaccination is an essential requirement of this role. Oregon Medical Group will adhere to all federal, state and local regulations and will obtain necessary proof of vaccination prior to employment to ensure compliance.

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.

About Oregon Medical Group

Oregon Medical Group provides patients with a single point of access to a full range of comprehensive and coordinated health care, including primary care, pediatrics and over 20 other specialties. Supporting services include on-site labs and x-ray services, a state-of-the-art imaging department, physical therapy, infusion center and more. OMG emphasizes preventative care and healthy living as it cares for patients. Addressing the cause of health issues is as important as treating symptoms; many OMG patients credit their physicians and clinicians for support with health, fitness and other lifestyle choices. Founded in 1988, OMG physicians, clinicians and staff provide care from 10 locations across the Eugene and Springfield areas to help our patients live their healthiest lives. Learn more at OregonMedicalGroup.com.

• Our Mission: We collaborate to provide the highest quality, patient-centered care.
• Our Vision: Together, we help you live your healthiest life.
• Our Values: Servant Leadership – Professionalism – Sustainability

From: Oregon Medical Group