Department OverviewThe Incumbent will focus on denials that impact the Revenue Cycle at OHSU and Community Connect Partners. This position serves as a primary contact for denials for the Centralized Managed Care department, which serves several key ambulatory practices. This role will be responsible to develop operational processes, system workflows and feedback loops to maintain and create efficient work processes integrating the requirements to mitigate denials. This individual will work with leadership staff to ensure these workflows are tested and implemented to reduce the chance for denials post service delivery. Another key component will be to manage the work queues where denials are routed.
This position will serve as a key support person on denials for the OHSU Healthcare mission. They will monitor denials for non-Intake Center departments. This support encompasses all ambulatory practices, the professional billing and PBS billing offices, hospital ancillary departments, and Central Registration. This support requires researching denials and best practices, evaluating the operations leading to the denials and determining an optimal mechanism for mitigating the risk, to achieve billing accuracy and limiting of denials received. Function/Duties of PositionCentralized Managed Care Denials
Non-Centralized Denials
Other Duties as assigned Required Qualifications
Preferred Qualifications
All are welcomeOregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. As an organization devoted to the health and well-being of people in Oregon and beyond, OHSU requires its employees to be fully vaccinated against COVID-19.
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