Ovation Healthcare

Implementation Specialist

• Lead end-to-end client onboarding for new RCM platform deployments, from kickoff through go-live and early stabilization
• Develop and maintain implementation project plans, timelines, and milestone trackers
• Configure client accounts, workflow settings, and system preferences based on practice type and specialty
• Conduct training sessions (virtual and on-site) for clinical and administrative staff on RCM platform features and billing workflows
• Serve as the primary client contact during implementation, managing expectations and escalating issues as needed
• Coordinate with internal teams (product, support, coding, credentialing) to resolve client-specific setup requirements
• Assist clients in mapping existing workflows to platform capabilities
• Maintain accurate project documentation, meeting notes, and client-facing resources in project management and CRM tools
• Contribute to the development of onboarding templates, training guides, and SOPs
• Track implementation metrics and flag risks or timeline delays to management proactively
• Assist RCM consulting team with gathering data requests and creating deliverables for data assessments

RCM Implementation Specialist

Billing Specialist

• Manage the daily billing and ensure timely accurate clean claims
• Claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations
• Maintain a list of split billing requirements by payer
• Review claims that are pended for edits and resolve
• Prepare and submit accurate claims for patient services
• Review patient accounts and reconcile payments with secondary payers
• Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies
• Maintain accurate records of all claims and ensure proper documentation in the patient account system
• Meet daily productivity and quality standards as assigned
• Work with internal departments to address issues or disputes affecting patient accounts
• Assist management in maintaining or reducing account receivable (AR) days

Medical Billing and Coding

• Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts
• Abstracts key data elements required for billing
• Reviews records for clinical pertinence and documentation
• Communicates with providers for clarification of documentation
• Reviews and resolves claim edits related to emergency department encounters
• Assists with resolution of simple visit coding errors
• Demonstrates courtesy and professionalism through interaction
• Maintains patient confidentiality
• Acknowledges and supports Hospitals defined goals

Coder, ED

Client Partner

• The Manager, Client Engagement serves as the principle executive contact with Spend Management members
• Responsible for working with the members, specifically the C-Suite, Executive Leadership, and Supply Chain team within the facility to drive value and savings to enhance their performance
• Expanding Ovation Healthcare’s footprint with the member and driving growth
• Move strategic customers from current state to a trusted strategic partnership
• Formalize partnership through an agreement that is recognized across Ovation Healthcare and the account
• Meet member specific targets for organic growth, contract performance, compliance, conversions, renewal, savings and strategic objectives
• Establish productive, professional, and consultative relationships with C-Suite, executive personnel and supply chain team throughout member organization
• Build credibility and trust through collaboration
• Present quarterly business reviews to executive team to reinforce Ovation value, demonstrate executed savings, and highlight progress on key initiatives
• Lead solution development efforts that best address customer needs
• Coordinate the involvement of the Spend Management teams to develop and articulate a strategic vision for member to meet account performance objectives and customers' expectations

Manager, Client Engagement

General

• Support payer strategy and negotiations by modeling commercial and government healthcare contracts
• Analyze reimbursement rates and evaluate the financial impact of proposed contract changes
• Develop contract scenarios and compare expected and actual reimbursement
• Monitor payer performance and provide data-driven insights to identify revenue opportunities
• Create visualizations, dashboards, and reports to present data insights clearly
• Collaborate with business units to define performance benchmarks and goals

Payer Relations Specialist

Accounts Receivable

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital
• Focus the team’s efforts and ensure diligent team follow-up are crucial to this position
• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential
• Hands-on training of staff is a key element of this role
• Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials
• Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP’s and process improvement processes
• Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information
• Implement strategies to improve collection rates and reduce outstanding accounts receivable

Accounts Receivable Manager

Client Services Representative

• Extract, compile, and validate data from multiple sources including EHRs and ERP systems.
• Develop and maintain data pipelines and queries to ensure reliable and consistent data feeds.
• Analyze hospital financial and operational data to identify trends, variances, and performance drivers.
• Support monthly close processes, budgeting, forecasting, and variance analysis.
• Design, develop, and maintain standardized and ad hoc reports using SQL and other reporting tools.
• Partner with accounting, revenue cycle, and operations teams to understand reporting needs.

Financial Analyst, Client Services

Operations

• Lead all back-end revenue cycle functions (billing, collections, denials, and revenue integrity across the hospital).
• Drive modernization of billing platforms and front-end digital tools.
• Implement dashboards and performance tracking systems for KPIs.
• Centralize revenue cycle functions into a high-performing CBO model.
• Serve as a key partner to the CFO and executive team in revenue cycle strategy.

VP, RCM Operations

Consultant

• Consult with client and Operations Team to understand their business objectives
• Design and facilitate know solutions, plan projects, and guidance throughout the implementation
• Leverage industry knowledge and application expertise in the implementation of CPSI/TruBridge software solution
• Demonstrate product and industry knowledge in Hospital and Clinic Revenue Cycle operations
• Ensure ongoing positive interactions and professional rapport with clients throughout the project lifecycle
• Serve as a client-facing consultant, providing expert guidance and support throughout the implementation and post go live process
• Provide configuration guidance, application training, and support to clients, ensuring they are fully enabled to utilize the new platform effectively
• Partner closely with Project Manager to identify potential risks and develop mitigation strategies to ensure successful project outcomes
• Continuously monitor and report on project progress, addressing any issues or concerns promptly
• Routinely provide feedback to cross functional stakeholders regarding client feedback, product feedback and other issues related to the implementation
• Be accountable for and meet deadlines, including adhering to the project timeline, assigning internal/external tasks, and following up on assignments to drive completion
• Drive innovation by communicating with team members regarding new ideas pertaining to the project

Consultant, CPSI/TruBridge

• Payment posting manual/Electronic (ERA’s) patient and insurance payments, adjustments, and/or denials
• Locate remittances & payments in various portals &/or clearinghouse
• Read and interpret EOB’s
• Apply copay/coinsurance and deductible balances to patient responsibility
• Review of patient account balances as needed to determine posting accuracy
• Perform payment deposit downloads and bank reconciliations
• Daily cash reconciliation and reporting
• Research and resolve unapplied accounts
• Flexibility to cross train/assist with training/cover for other team members and/or with other projects as needed
• Identify and report on trends/issues
• Prepare, reconcile and complete the local bank deposits for mail patient/insurance/accounting payments & other hospital/clinic departments (does not apply to home-based candidates)
• Maintain/reconcile petty cash funds, process point of service patient payments (does not apply to home-based candidates)
• Post monthly agency payment reports
• Work to resolve unidentified deposits
• Work posting issue work queues

Cash Posting Specialist

System Administrator

• Performs hands-on vulnerability remediation, patch deployment, and secure configuration hardening for Windows Server environments.
• Ensures remediation is executed within formal change control.
• Review Qualys Vulnerability Management findings for Windows servers and define remediation plans.
• Test and deploy patches using Microsoft System Center Configuration Manager or Microsoft Endpoint Configuration Manager.
• Create new Software Update Groups each month for workstations and servers.
• Schedule and configure deployments for new Software Update Groups.
• Implement Windows Server hardening baselines including security configuration standards.
• Validate remediation closure through health checks and Qualys rescans.
• Troubleshoot patch failures and service impacts; support restoration and root cause analysis.
• Maintain operational metrics for patch compliance and vulnerability aging.

Windows Server System Administrator

ServiceNow

• Manage ServiceNow instance health, upgrades, and patches.
• Configure and maintain ServiceNow modules (ITSM, ITOM, SPM, ITAM, SecOps, etc.).
• Monitor performance and troubleshoot issues to ensure platform stability.
• Create and manage user roles, groups, and permissions.
• Ensure compliance with security and governance policies.
• Implement advanced UI policies, business rules, workflows, and notifications.
• Lead integrations with third-party systems and APIs.
• Identify opportunities for automation and process optimization.
• Maintain documentation for configurations, processes, and procedures.
• Develop and maintain dashboards and reports for stakeholders.
• Provide mentorship and guidance to junior administrators.

Senior ServiceNow Admin

• Responsible for coding and abstracting of diagnoses from medical records
• Assigns ICD-10-CM codes for medical record accounts
• Reviews records for clinical pertinence and documentation
• Communicates with providers for clarification
• Reviews and resolves claim edits related to outpatient encounters

Coder, Outpatient

• Responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement.
• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Submit necessary provider queries to resolve documentation discrepancies.
• Perform quality assessment of records, including verification of medical record documentation.
• Review appropriate charges and make changes or recommendations based on the documentation.
• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
• Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.

Coder, SDS

• Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse
• Creates appropriate letters to substantiate the validity of claims
• Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up
• Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty
• Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals
• Researches payer policies and processes
• Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment
• Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed
• Identifies invoices or claims that have been rejected per billing edits/criteria