RCM Analyst Remote
RCM Analyst Remote
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Salary Not Disclosed
1 Vacancy
Job Description
Welcome to Ovation Healthcare!
At Ovation Healthcare weve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support guidance and techenabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcares vision is to be a dynamic integrated professional services company delivering innovative and executable solutions through experience and thought leadership while valuing trust respect and customer focused behavior.
Were looking for talented motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcares corporate headquarters is located in Brentwood TN. For more information visit https://ovationhc.
Description
Amplify an Ovation Healthcare company is seeking strong revenue cycle analysts with hospital claims experience.
Applicants must be knowledgeable in the areas of AR followup/collections appeal writing root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation.
The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations claim form requirements and appeal processes for government or nongovernment payer sources.
Qualifications
Hospital Billing/Collections: 3 years (Preferred)
Work from Home Position Requires Reliable High Speed Internet Connection
Essential Functions
Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information relevant UB/1500 claim form information and modifiers and provider information as needed.
Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits eligibility and coverage as needed.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Accurately reports barriers to billing and claim reimbursement via companydefined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.
Provides precise documentation of all actions taken on accounts worked.
Maintains client and/or position specific daily productivity and quality expectations
Required Skills and Experience
Hospital Billing/Collections or Medical Billing: 3 years (Preferred)
Must adapt and demonstrate the ability to work independently from home in a fastpaced changing and goaloriented environment.
Must be detail oriented organized and possess the ability to apply critical thinking skills.
Required Experience:
IC
Employment Type
Full-Time
