Accounts Receivable Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 11%

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Logo of Ovation Healthcare

Ovation Healthcare

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Follow up with insurance payers on outstanding claims, remove payment obstacles, and accelerate cash collections • Follow up on and collect assigned accounts using strategies and tools to resolve claims and obtain payment • Escalate unpaid claims to payer claims supervisors when regular follow-up is unsuccessful • Document client host-system activity using the 5 W’s framework and applicable policies and procedures • Copy account notes into Amplify’s workflow tool • Assign appropriate status codes in Amplify to identify and address trends • Write first- and second-level appeals for denials to overturn denials and secure payment • Escalate payer denial and other trends to Management • Work assigned underpayments as directed by Management • Maintain daily productivity and quality expectations • Research and analyze correspondence related to assigned accounts

🎯 Requirements

• 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 • Intermediate experience in Excel preferred • Provides information regarding patient accounts while safeguarding confidential information • Demonstrates understanding of the entire revenue cycle • Detail oriented and organized, with critical thinking skills • Ability to assist with problem solving, inquiries, and customer interaction • High school diploma or equivalent • 3–5 years of collections experience in a Hospital Business Office

🏖️ Benefits

• Work from home / 100% remote • Stable internet connection, quiet dedicated workspace, and necessary office equipment • Daily communication and collaboration through email, phone calls, video meetings, and collaborative tools

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