Specialist, Accounts Receivable
欢迎来到奥瓦逊医疗保健！在奥瓦逊卫生保健，我们已经使当地医疗服务更好了40多年。我们的使命是加强独立的社区医疗保健。我们为独立的医院和卫生系统提供支持，指导和技术支持的共享服务，以保持强大和可行。凭借强烈的目的感和致力于运营卓越，我们帮助农村医疗服务提供者履行他们的任务。奥瓦逊医护不同是运营经验和咨询指导的非凡组合，这符合我们创造健康组织可持续未来的使命。欧瓦逊医疗保健的愿景是通过经验和思想领导提供创新和可执行解决方案，同时重视信任，尊重和客户专注行为。我们正在寻找有才华，激励的专业人士，希望帮助独立医院繁荣。与奥瓦逊医护公司合作，你将有机会在专业化和团队工作的大学氛围中与高技能主题专家和运营管理人员协作。奥瓦逊医生总部位于特伦伍德，TN.更多信息请访问简介：职责：·负责在分配库存中的账户上进行跟踪和收取。利用经验和后续策略和工具来解决索赔并获得支付。·根据适当情况，在定期的追随努力未成功时向付款人索赔监督者提出无偿索赔。·文件客户主机系统使用5 W 框架以及相关政策/程序确保准确完整的文档，然后将帐户说明复制到 Amplifysworkflow 工具中。· 通过 Amplifysworkflow 工具的趋势可以识别和解决。· 在努力推翻和确保支付方面，编写一级和第二级所有拒绝上诉。· 扩大纳税人拒绝和其他趋势向管理层寻求进一步帮助。· 也可能会根据管理层所分配的欠款工作。· 保持客户或定位特定的日常生产力和质量期望。
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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