应收账款专员
Specialist, Accounts Receivable
欢迎来到 Ovation Healthcare！
在 Ovation Healthcare，我们已经为当地医疗保健带来了超过 40 年的改善。我们的使命是加强独立社区医疗。我们为独立医院和医疗系统提供支持、指导和技术驱动的共享服务，以保持其强大和可持续性。凭借强烈的目标感和对运营卓越的承诺，我们帮助农村医疗机构实现其使命。
Ovation Healthcare 的独特之处在于将运营经验和咨询指导相结合，以实现我们创造医疗保健组织可持续未来的使命。Ovation Healthcare 的愿景是成为一家充满活力、整合的专业服务公司，通过经验与思想领导力提供创新且可执行的解决方案，同时重视信任、尊重和以客户为中心的行为。
我们正在寻找有才华、有动力的专业人士，他们希望帮助独立医院蓬勃发展。在 Ovation Healthcare 工作，您将有机会与高技能的专家和运营高管合作，在专业和团队合作的氛围中工作。
Ovation Healthcare 的总部位于田纳西州 Brentwood。如需更多信息，请访问
简介：
该职位的主要职责是跟进保险付款方的未结账单，解决支付障碍，并加快现金回收。
职责和要求：
- 负责跟进并回收分配库存中的账户。利用经验和跟进策略及工具解决账单并获得付款。
- 在常规跟进工作不成功时，将未付款账单上报给保险付款方的账单主管。
- 使用 5 W’s 框架及相关政策/程序记录客户的主机系统，确保准确完整的记录，然后将账户备注复制到 Amplify 的工作流工具中。
- 在 Amplify 的工作流工具中分配适当的状况代码（例如根本原因、行动等），以便识别和处理趋势。
- 编写所有拒绝的首次和第二次上诉，以推翻并确保付款。
- 将保险付款方的拒绝和其他趋势上报给管理层以获得进一步协助。
- 根据管理层的指派，也可能处理分配的未付金额。
- 保持客户和/或职位特定的日常生产力和质量期望。
查看英文原文
Welcome to Ovation Healthcare!
At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit
Summary:
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.
Duties and Responsibilities:
- Responsible for follow-up and collecting on accounts in assigned inventory. Utilizes experienceand follow-up strategies and tools to resolve claims and obtain payment.
- Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up effortsare not successful.
- Documents client’s host system utilizing the 5 W’s framework and related policies/procedures toensure accurate and complete documentation and then copies account notes intoAmplify’sworkflow tool.
- Assigns appropriate status codes (e.g. root cause, action, etc.) inAmplify’sworkflow tool sotrends 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.
Knowledge, Skills, and Abilities:
- 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 a preferred, knowledge of third-partyIntermediate experience in Excel preferred.
- Provides information regarding patient accounts in response to inquiries, safeguardingconfidential 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.
Work Experience, Education, and Certifications:
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.
Working Conditions and Physical Requirements:
- Work from home and remote location with a stable internet connection, a quiet and dedicated workspacefree of distractions, and access to necessary office equipment.
- The ability to have daily communicationwith team members, management, and clients through email, phone calls, video meetings and othercollaborative tools.
- Primarily requires sitting at a desk for extended period. Proper lighting andergonomics 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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Originally posted on Himalayas