Team Lead, Follow Up

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🕒 May 26

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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

• Monitor timecards and time off calendar. • Coordinate and assist in training new and existing employees. • Overseeing team members and answering their questions. • Distribute daily workflows to all team members. • Audit employees work and provide feedback, support, and training when necessary. • Host frequent team meetings. • Monitor employee’s productivity via ActivTrak. • Closely monitors ageing claims in Office Managers. • Closely monitors & ensures denials & insurance calls production are within expected goal. • Assists in identifying and resolving trending AR issues. • Manage and review the workflow folders daily. • Work Manager Review items as marked by other departments and team members. • Review and distribute our Client Request List to the Client Service team. • Review unfavorable appeals. • Work closely with the Follow Up Managers to carry out process improvements. • Alert Follow Up Managers to issues in need of high-level attention for further resolution. • Follow up on unpaid claims with insurance carriers after specified claim age. • Contact insurance companies via telephone, portals, and email requests to inquire on claims denied in error or on claims where there is further information needed in order to resolve for payment. • Utilize multiple online websites and portals to research claims. • Identify denial trends and other issues with insurance carriers and report to lead for review to assist in preventing future denials. • Process appeals on denied claims.

🎯 Requirements

• High school diploma or equivalent required. • Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a related field preferred. • 1-2 years' experience of AR Follow-Up • Experience in Professional CMS 1500 Billing, Multiple Clearinghouses, Billing Systems, EMR’s • Knowledge of Multiple States Billing Requirements, Commercial and Government Payers

🏖️ Benefits

• 100% Remote • Expected to work from a designated home office or other quiet and secure location, free from distractions. • Access to a suitable workspace that includes reliable internet access.