Specialist, Accounts Receivable
Specialist, Accounts Receivable
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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 tech-enabled 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.
Summary:
The primary responsibility of this position is to follow-up with insurance payers on outstanding claimsbreak down obstacles to payment and accelerate cash collections.
Duties and Responsibilities:
Responsible for follow-up and collecting on accounts in assigned inventory. Utilizes experienceand follow-up strategies and tools to resolve claims and obtain payment.
Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up effortsare not successful.
Documents clients host system utilizing the 5 Ws framework and related policies/procedures toensure accurate and complete documentation and then copies account notes intoAmplifysworkflow tool.
Assigns appropriate status codes (e.g. root cause action etc.) inAmplifysworkflow tool sotrends can be identified and addressed.
Writes first and second level appeals of all denials in effort to overturn and secure payment.
Escalates payer denial and other trends to Management for further assistance.
May also work assigned underpayments as assigned by Management.
Maintains client and/or position specific daily productivity and quality expectations.
Researches and analyzes any correspondence received related to assigned accounts.
Knowledge Skills and Abilities:
Must adapt and demonstrate the ability to work independently from home in a fast-paced
changing and goal-oriented environment.
Direct account follow-up and/or billing experience.
Medical Terminology ICD-10 CPT and DRG knowledge a preferred knowledge of third-partyIntermediate experience in Excel preferred.
Provides information regarding patient accounts in response to inquiries safeguardingconfidential information in verbal replies and correspondence.
Demonstrates understanding of the entire revenue cycle.
Must be detail oriented organized and possess the ability to apply critical thinking skills.
Assists with problem solving inquiries and customer interaction to ensure positive results.
Work Experience Education and Certifications:
High school diploma or equivalent; additional training in hospital insurance collections is a plus.3-5 years of collections experience in a Hospital Business Office.
Working Conditions and Physical Requirements:
Work from home and remote location with a stable internet connection a quiet and dedicated workspacefree of distractions and access to necessary office equipment.
The ability to have daily communicationwith team members management and clients through email phone calls video meetings and othercollaborative tools.
Primarily requires sitting at a desk for extended period. Proper lighting andergonomics should be maintained to reduce eye strain.
- Reliable high-speed internet connection is required for all remote/hybrid positions.
- Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing cloud-based tools and other online work-related activities.
- A HIPAA-compliant work environment is required including a secure workspace free from unauthorized access or interruptions no use of public Wi-Fi unless connected through a secure company-provided VPN and compliance with all applicable HIPAA privacy and security regulations.
Travel Requirements:
None
Required Experience:
Unclear Seniority
Employment Type
Full-Time
