Billing Specialist

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🔥 9 hours ago

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

⚕️ Healthcare Insurance

☁️ SaaS

📚 Education

Healthcare Insurance • SaaS • Education

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 the daily billing and ensure timely accurate clean claims • Claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations • Maintain a list of split billing requirements by payer • Review claims that are pended for edits and resolve • Prepare and submit accurate claims for patient services • Review patient accounts and reconcile payments with secondary payers • Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies • Maintain accurate records of all claims and ensure proper documentation in the patient account system • Meet daily productivity and quality standards as assigned • Work with internal departments to address issues or disputes affecting patient accounts • Assist management in maintaining or reducing account receivable (AR) days

🎯 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, particularly regarding billing discrepancies and denied claims. • Experience utilizing Payer portals, client systems and clearing house requirements • Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer guidelines • High school diploma or equivalent; additional training in medical billing is a plus.

🏖️ Benefits

• Work from home and remote location • Stable internet connection • Quiet and dedicated workspace free of distractions