Billing Specialist

🔥 13 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $45.1k - $67.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 2%

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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

• Manage daily billing and ensure timely, accurate, clean claims • Review claims and resolve daily billing claim edits • Ensure compliance with insurance billing policies and regulations • Maintain payer-specific split billing requirements and update the team crosswalk • Upload appeals through payer portals and provide feedback to the internal team • Import claims from the host system into the claims processing system when required • Review and resolve claims pended for edits • Prepare and submit accurate claims for patient services • Review patient accounts and reconcile payments with secondary payers • Review remittance advice and ensure payments are posted correctly • Address outstanding balances before filing with secondary payers • Ensure billing and collection practices comply with CMS regulations, HIPAA, and company policies • Maintain accurate claims records and documentation in patient account systems • Meet assigned daily productivity and quality standards • Collaborate with patient financial services, finance, and billing departments on account issues and disputes • Assist management with maintaining or reducing accounts receivable days and improving cash flow

🎯 Requirements

• Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting • In-depth knowledge of billing codes, guidelines, and regulations • Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing • Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively • Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations • Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously • Problem-solving abilities regarding billing discrepancies and denied claims • Experience utilizing payer portals, client systems, and clearing house requirements • 3-5 years of experience as a primary biller in a hospital Business Office • Knowledge of medical terminology, ICD-10, CPT, DRG, and third-party insurance payer guidelines preferred • High school diploma or equivalent; additional training in medical billing is a plus • Stable internet connection, quiet dedicated workspace, and necessary office equipment • Ability to communicate daily with team members, management, and clients through email, phone calls, video meetings, and collaborative tools

🏖️ Benefits

• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage • HSA with employer contributions • Flexible spending accounts for health care and dependent care accounts • Wellness platform with premium incentives • Employee assistance support • Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance • Robust and flexible paid time off offerings • Company paid holidays • 401(k) plan with discretionary employer match opportunities • Professional development opportunities • Company issued equipment

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