Revenue Recovery Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 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

• Audit unbilled accounts to ensure services are documented, coded, and charged, reducing preventable DNFB and DNFC days • Identify charge variances and trends and partner with department leaders on corrective action • Support Revenue Cycle leadership through revenue integrity reporting and analysis • Assist with Chargemaster validation and charge compliance with CMS, payer, and regulatory requirements • Intercept Coding Issues from the HB/PB team for resolution • Assist in decreasing DNFB and DNFC days • Provide leadership with actionable revenue integrity reporting and analytics • Ensure collaboration between the RRT Clinical Department, Clinical Operations, Patient Financial Services, Coding, CDI, and RCM Operational Leadership

🎯 Requirements

• High School Diploma or equivalent required • Associate's or Bachelor's degree in a related field preferred • Minimum of 2+ years of experience in healthcare accounts receivable (AR), hospital billing, or revenue cycle resolution • Strong foundational understanding of the healthcare revenue cycle, including claims submission, remittance processing, and follow-up • Demonstrated analytical and critical thinking skills with a high level of attention to detail • Excellent written and verbal communication skills • Proficiency with computers and technology, with ability to learn new software platforms • Prior experience in denial analysis or underpayment identification • Familiarity with reading and interpreting payer contracts and fee schedules • Experience working within various payer portals and systems • Reliable high-speed internet connection • Access to stable Wi-Fi with sufficient bandwidth • HIPAA-compliant secure workspace • Compliance with applicable HIPAA privacy and security regulations

🏖️ Benefits

• 100% remote work arrangement • Reliable high-speed internet connection provided by the employee for remote/hybrid work • Stable Wi-Fi with sufficient bandwidth for video conferencing, cloud-based tools, and other online work-related activities • HIPAA-compliant work environment, including a secure workspace • No use of public Wi-Fi unless connected through a secure company-provided VPN