Pacific University achieves excellence and distinction by investing in exceptional people to think, care, create, and pursue justice in our world. We embrace discovery in a close nurturing environment that leads to genuine transformation. Our community is diverse, sustainable, and dedicated to discovery and excellence in teaching, scholarship and practice.

At Pacific University we thrive in an extraordinary environment, surrounded by the beauty of the great Pacific Northwest, with campus locations in Forest Grove, Hillsboro, Eugene, and Woodburn. We humbly acknowledge and thank the original caretakers of the lands on which we live, work, teach, acquire and share knowledge.

GENERAL DESCRIPTION OF POSITION:

Works independently and collaboratively to assist the Billing manager perform accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.

ESSENTIAL FUNCTIONS/MAJOR RESPONSIBILITIES:

• Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
• Follows up with insurance companies on unpaid or rejected claims within 30 days. Resolves issues and resubmits claims.
• Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
• Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
• Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
• Performs other billing duties as requested by the Billing Manager

SECONDARY FUNCTIONS:

• Perform other related duties as assigned

SUPERVISOR RESPONSIBILITY:

None.

EDUCATION AND/OR EXPERIENCE:

• Must have a high school diploma, college degree preferred, not required. Certified Medical Biller (CPB) preferred.

REQUIRED KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORS:

• One year-two years’ experience and/or training; or equivalent combination of education and experience.
• Bilingual, fluent in Spanish.
• Working knowledge of HIPAA and compliance laws and rules in healthcare.
• Proficient in use of computers and software including, but not limited to: practice management software, word processing and spreadsheet applications. EPIC/OCHIN Knowledge preferred.
• Detail oriented with ability to multi-task.
• Manages one’s own time with minimal supervision.
• Strong mathematics and problem-solving skills.
• Seeks and shares pertinent information related to insurance or internal processes.
• Communicates effectively both verbally and in writing to convey and receive information.
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

WORKING CONDITIONS:

Normal Office Environment. Work requires considerable independent judgment and extraordinary people-skills and is characterized by frequent interruptions, changing needs, and a variety of simultaneous activities.

PHYSICAL ACTIVITIES:

Stooping, Kneeling, Crouching, Reaching, Standing, Walking, Pushing, Lifting, Fingering, Talking, and Hearing.

PHYSICAL REQUIREMENTS:

Sedentary work, Light work, Medium work, and Visual acuity. Ability to perform occasional lifting of up to 50 lbs.

At Pacific University we are dedicated to providing experiences that are authentic, holistic, equity minded, and responsive. We continue to develop our equity practices with a particular focus on racial equity.

For qualifying employees, our benefits include generous paid time off for vacation, holidays (including winter break) and sick leave. We offer medical coverage with alternative care (in-network services covered at 100% after payroll deduction), comprehensive dental, vision plans, 9% contribution to retirement after one year of service with no match required, free mental health appointments, and tuition remission for employees and their dependents. We cover employer paid life, short term disability, and long term disability insurance. On campus benefits include free access to our sports facility and library, with discounts on campus food, bookstore purchases, clinic services, and gear rentals through our outdoor program (kayaks, snow shoes, bikes and more).

Candidates from diverse backgrounds are encouraged to apply. Studies have shown that candidates that are female and/or BIPOC are less likely to apply for jobs unless they meet all of the qualifications they find in the job description. We are seeking the best candidate for the job, and that candidate may be a person who comes from a less traditional background. We encourage you to apply even if you don't meet every minimum qualification described or are unsure if your experience could be considered related experience.

NOTICE OF NONDISCRIMINATION POLICY

It is the policy of Pacific University not to discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion or religious creed, disability, sex or gender, gender identity and/or expression, sexual orientation, military, veteran or Vietnam Era status, or any other protected classification recognized by applicable law, in admission, access to, or treatment in employment, educational programs or activities as required by Title IX of the Education Amendments of 1972, section 504 of the Rehabilitation Act of 1973, Title VII of the Civil Rights Act of 1964, the Age Discrimination Act, the Americans with Disabilities Act of 1990, or any other applicable state or federal law, or city ordinance. Questions or complaints may be directed to the Vice President for Academic Affairs, 2043 College Way, Forest Grove, OR 97116, provost@pacificu.edu.

Application materials will be screened and interview candidates will be selected and notified by telephone. The hiring process normally consists of several interviews and can last several weeks depending on the position. All applicants will be notified once the position is filled. Employment is contingent upon eligibility to work in the United States.