Providence Health Plan is calling a Financial Transactions Analyst 1 to our location in Beaverton, OR. This position will be remote and may pivot to a hybrid model in 2022 working a combination of in office and remote. We are seeking candidates that are available in commute distance to the office in Beaverton, OR as needed. This is a Part Time position.
The Financial Transactions Analyst 1 is a member of a cross-functional team whose primary responsibilities are to identify other party resources for primary payment of claims, while providing technical and customer support to the Service Operations Claims and Customer Service teams, and multiple internal and external customers in the areas of Coordination of Benefits (COB), Third Party Liability (TPL), and Overpayment Recovery (OPR).
This position is responsible for maintaining other insurance information, determining order of benefits, coordinating recoupment and/or avoidance of payment as appropriate in an effort to reduce medical expense. In addition, this position is responsible for requesting refunds for overpayments made in error, following up with providers and members to ensure prompt refunds are received and posted to members claim history as well as negotiating a fair and just settlement of third party cases with legal counsel and adverse carrier situations.
Bachelor's Degree - OR - 4 years experience in a healthcare environment will be considered
2 years Experience in a healthcare environment.
1 year Claims adjudication experience in an HMO and/or PPO environment.
- 2 years Experience with Facets claims adjudication software.
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits — see our website for details — http://www.providenceiscalling.jobs/rewards-benefits
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: Claims
Other Location(s): Oregon, Washington-Vancouver
Req ID: 365170