Ovation Healthcare
Ovation Healthcare
Ovation Healthcare nodrošina kopīgus pakalpojumus un operatīvo atbalstu neatkarīgām slimnīcām un veselības aprūpes sistēmām. Balstoties uz vairāk nekā 45 gadu pieredzi, uzņēmums darbojas vadības konsultāciju, piegādes ķēdes pārvaldības, ieņēmumu cikla pārvaldības, tehnoloģiju pakalpojumu un klīniskās aprūpes pārvaldības jomā. Tā konsultāciju un izglītības programmas palīdz veselības aprūpes organizācijām stiprināt finanšu un klīnisko darbību, vienlaikus izvirzot pacientu aprūpi un kopienas labklājību sava darba centrā.

Remote Accounts Receivable Specialist - Ovation Healthcare

Manage hospital insurance claims, denials, underpayments, and payer follow-up for Ovation Healthcare in a remote accounts receivable role. Support faster collections through appeals, thorough documentation, and payer escalation.

Apraksts

  • Pursue payment from insurance payers on outstanding claims
  • Identify payment barriers and help accelerate cash collections
  • Manage collection activity for accounts in the assigned inventory
  • Apply account follow-up experience, strategies, and tools to resolve claims and secure payment
  • Refer unpaid claims to payer claims supervisors when standard follow-up does not produce results
  • Record client host-system information using the 5 W’s framework and applicable procedures
  • Transfer account notes into Amplify’s workflow platform
  • Apply the correct Amplify status codes to track issues and identify trends
  • Prepare first- and second-level denial appeals to support reversal and payment
  • Report payer denial patterns and other emerging trends to Management
  • Process assigned underpayments according to Management direction
  • Meet daily productivity and quality standards for the client and position
  • Review and analyze correspondence associated with assigned accounts
  • Communicate each day with team members, Management, and clients through email, phone, video meetings, and collaboration tools

Prasības

  • Able to work independently from home in a fast-paced, changing, goal-focused environment
  • Experience with direct account follow-up or billing
  • Knowledge of medical terminology, ICD-10, CPT, and DRG coding
  • Intermediate Excel experience is preferred
  • Able to respond to patient-account inquiries while protecting confidential information in conversations and written correspondence
  • Understanding of the complete healthcare revenue cycle
  • Detail-oriented and organized, with the ability to apply critical-thinking skills
  • Able to help resolve problems and inquiries while supporting positive customer interactions
  • High school diploma or equivalent
  • Additional hospital insurance collections training is a plus
  • Three to five years of collections experience in a hospital business office
  • Stable internet connection
  • Quiet, dedicated workspace without distractions
  • Access to required office equipment
  • Able to communicate daily with team members, Management, and clients through email, phone, video meetings, and other collaboration tools

Priekšrocības

  • Broad health and wellness coverage, including medical, dental, vision, life insurance, and short- and long-term disability
  • Health savings account with employer contributions
  • Flexible spending accounts for healthcare and dependent care
  • Wellness platform offering premium incentives
  • Employee assistance resources
  • Optional supplemental coverage for accidents, critical illness, hospital indemnity, and child disability
  • Flexible paid time off programs
  • Employer-paid holidays
  • 401(k) plan with potential discretionary employer matching
  • Professional development opportunities
  • Company-provided equipment

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