Accounts Receivable Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

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 • Break down obstacles to payment and accelerate cash collections • Follow up on and collect assigned accounts • Use experience, follow-up 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 relevant policies/procedures • Copy account notes into Ovation’s workflow tool • Assign status codes, including root cause and action codes, in the Ovation workflow tool • Write first- and second-level appeals for denials to 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 be able 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 preferred • Intermediate experience in Excel preferred • Understanding of the entire revenue cycle • Detail oriented and organized • Ability to apply critical thinking skills • Ability to assist with problem solving, inquiries, and customer interaction • High school diploma or equivalent • 3–5 years of collections experience for hospital claims • Stable internet connection and a quiet, dedicated workspace free of distractions • Access to necessary office equipment • Ability to communicate daily with team members, management, and clients via email, phone, video meetings, and collaborative tools

🏖️ Benefits

• Work from home/remote work arrangement • Stable internet connection, quiet dedicated workspace, and necessary office equipment requirements • Daily communication through email, phone calls, video meetings, and collaborative tools • No travel required