Ovation Healthcare is the premier provider of shared services to improve hospital and system performance.
Accounts Receivable Specialist
Location
United States
Posted
69 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Accounts Receivable Specialist
Ovation Healthcare
Role Description The primary responsibility of this position is to follow-up with insurance payers on outstanding claims, break down obstacles to payment, and accelerate cash collections. - Responsible for follow-up and collecting on accounts in assigned inventory. - Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment. - Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts are not successful. - Documents client’s host system utilizing the 5 W’s framework and related policies/procedures to ensure accurate and complete documentation. - Copies account notes into Amplify’s workflow tool. - Assigns appropriate status codes (e.g. root cause, action, etc.) in Amplify’s workflow tool so trends can be identified and addressed. - Writes first and second level appeals of all denials in effort to overturn and secure payment. - Escalates payer denial and other trends to Management for further assistance. - May also work assigned underpayments as assigned by Management. - Maintains client and/or position specific daily productivity and quality expectations. - Researches and analyzes any correspondence received related to assigned accounts. Qualifications - Must adapt and demonstrate the ability 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. - Knowledge of third-party billing. - Intermediate experience in Excel preferred. - Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence. - Demonstrates understanding of the entire revenue cycle. - Must be detail oriented, organized, and possess the ability to apply critical thinking skills. - Assists with problem solving, inquiries, and customer interaction to ensure positive results. Requirements - High school diploma or equivalent; additional training in hospital insurance collections is a plus. - 3-5 years of collections experience in a Hospital Business Office. Work Conditions and Physical Requirements - Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. - The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. - Primarily requires sitting at a desk for extended periods. Proper lighting and ergonomics should be maintained to reduce eye strain. - Reliable high-speed internet connection is required for all remote/hybrid positions. - Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. - A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations. Travel Requirements - None
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