Ovation Healthcare

Consultant

• Proficient use of healthcare data and analytical tools
• Prepares deliverables aligned to project goals and objectives
• Applies specialized knowledge and skills to address client issues
• Participates in key strategic interviews with clients
• Drafts sound and well-structured recommendations

Associate Consultant, Strategy

Manager

• Oversee the operations of the Follow Up team.
• Identify opportunities to improve efficiency and overall process improvement.
• Manage Multiple Specialties.
• Implement process changes within the unit.
• Coordinate training needs.
• Guide Team Leads to the correct resolutions.
• Monitor PTO and flex time requests.
• Review Daily Workflows.
• Complete performance reviews.
• Closely monitor all claims over 60 days old.
• Identify/Resolve trending AR issues.
• Report directly to VP of Revenue Cycle.

Manager, Follow Up

Customer Success Manager

• Lead end-to-end implementation of GPO services for new and transitioning healthcare clients.
• Develop and manage detailed project plans, timelines, and deliverables.
• Coordinate cross-functional teams (Supply Chain, Pharmacy, Finance, IT, Vendors).
• Oversee item master and formulary conversion to align with GPO contracts.
• Ensure accurate and timely setup of contract pricing, tiers, and distribution agreements.
• Validate savings opportunities through benchmarking and cost analysis.
• Conduct financial analysis as necessary for contract tier optimization.
• Act as the primary point of contact for clients during implementation.
• Conduct regular status meetings, provide progress reports, and manage issue resolution.
• Support client education on GPO model, compliance, and reporting tools.
• Guide hospital leadership and supply chain teams through transition from prior GPO.
• Facilitate adoption of new processes, policies, and compliance requirements.
• Address barriers to implementation and escalate risks as needed.
• Track realized savings against pro forma projections.
• Provide reporting on compliance, contract utilization, and cost reduction.
• Transition client to ongoing account management team post-implementation.

Client Success Manager

Medical Billing and Coding

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding
• Resolve medical record documentation deficiencies through healthcare provider query, and provide routine feedback to healthcare providers to correct deficiencies
• Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten)
• Responsible for researching errors or missing documentation from medical record, in order to provide accurate coding processes
• Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in an outpatient and inpatient setting.

Coder, Pro

• Serve as the point of contact for assigned clients, coders, and other stakeholders.
• Manage both on and offshore coding resources, including payroll and task assignment.
• Monitor volume and employee efficiency to maintain SLAs and other contractual obligations.
• Assist in developing and growing coding services, including recruiting and hiring staff.
• Perform or oversee coding, quality reviews, and other middle revenue cycle services.
• Directly perform, oversee, participate in, and recommend process improvements and operational changes to improve efficiency and client relationships.
• Prepare and provide weekly reports to appropriate internal and external stakeholders.
• Prepare business status reports and present them to clients.
• Ensure proper alignment of coding staff based on project scope and goals.
• Mentor and train internal coding staff.
• Create, maintain, and enforce standard operating procedures for the department.

Manager, Coding

Database Administrator

• Perform security updates to SQL stand alone and clustered databases in coordination with Operation support staff and SME
• Test and Implement security controls in coordination with the Security Team
• Review Qualys Vulnerability Management findings and partner with server administrators to drive closure validation and reporting
• Maintain metrics for remediation progress, vulnerability aging for assets, and hardening compliance; support service level agreement reporting
• Work with SME, Operations team and/or vendors to document maintenance windows
• Act as a liaison between database users, technical teams, application administrators, and other stakeholders to facilitate effective communication and data management
• Troubleshoot database issues, set up log files and schedule backups

SQL Database Administrator

• Support the administration, maintenance, and optimization of databases to ensure data security, integrity, and availability.
• Participate in on-call rotation to provide 24x7 support of database systems.
• Design, develop, and implement database solutions as required.
• Provide day-to-day administrative support for efficient system-wide database operations.
• Design and support data repositories working closely with Infrastructure team.
• Work closely with Data Archivist to ensure regulatory compliance for medical data retention.
• Monitor database performance, generate reports, and perform data backup and recovery processes using Database Management Systems.

Senior Database Administrator

• Proficient use of healthcare data and analytical tools and to develop logical approaches/conclusions to analysis.
• Prepares deliverables aligned to project goals and objectives, utilizes team resources to meet agreed upon project completion, and ensures high performance service to clients.
• Applies specialized knowledge and skills to address client issues and shares knowledge with others.
• Participates in key strategic interviews with clients and summarizes findings effectively.
• Clearly and concisely conveys more complex messages to the team and to the client.
• Drafts sound and well-structured recommendations with guidance to include the ability to design deliverables to fit the engagement contract and the client's needs.
• Performs other duties as assigned.

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.
• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.
• Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management.
• Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.
• Identify areas for improvement and implement action plan to resolve payer and denial challenges.
• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
• Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)
• Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
• Proper utilization of federal and state credit collection regulations and guidelines
• Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity
• Coordinates agenda(s), presents findings on all scheduled conference calls

Manager, Accounts Receivable

Director

• Support with strategic oversight to direct, manage, and improve revenue cycle operations
• Drive operational excellence and accountability through metrics driven culture
• Conduct daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs)
• Serve as the internal revenue cycle liaison for hospital leadership
• Respond to stakeholder needs and support revenue cycle related initiatives
• Work collaboratively with the Revenue Cycle teams to implement best practices
• Provide oversight of billing, claims, and follow-up items related to the operations of the facilities
• Analyze facility efficiencies and provide feedback for improvements in operations
• Identify training needs to enhance performance and coordinate deployment with training team

Director, Revenue Cycle Management

• Responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic.
• Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services.
• Receive and review charge entry data from practice sites.
• Identify and investigate incomplete or missing charges.
• Abstract clinical information; translate medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems.
• Sequence codes according to established guidelines.
• Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers.
• Maintain proficient knowledge of EHR, as well as any other systems to perform job duties.
• Communicate issues to management, including payer, system, or escalated account issues.
• Identify medical necessity denial trends and provide suggestions for resolution.
• May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution.
• Participation in department meetings, in-service programs, and continuing education programs.
• Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel.
• Assure confidentiality of patient information, maintaining compliance with policies and procedures.
• Perform other duties as assigned.

Coder

Customer Support

• Manage open agent tickets relating to general account inquiries through completion
• Post any missing payments to accounts through RP function for client reconciliation process
• Maintain a thorough and effective contingency plan with Client Service Representative
• Accountable for timely completion of assigned client specific reports and requirements
• Take initiative and action to respond to, resolve, and follow up on customer service issues and client requests
• Communicate all feedback, client updates, and recommendations to all levels within the organization

Client Operations Support Representative

• Responsible for critical access hospital coding including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic
• Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services
• Receive and review charge entry data from practice sites
• Identify and investigate incomplete or missing charges
• Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
• Sequence codes according to established guidelines
• Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement
• Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
• Maintain proficient knowledge of EHR, as well as any other systems to perform job duties
• Communicate issues to management, including payer, system, or escalated account issues
• Identify medical necessity denial trends and provide suggestions for resolution
• May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
• Participation in department meetings, in-service programs, and continuing education programs
• Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel
• Assure confidentiality of patient information, maintaining compliance with policies and procedures
• Perform other duties as assigned

Outpatient Specialty Coder

• Serve as a trusted advisor to physicians and health system leaders on cardiovascular supply chain strategy, product selection, and value optimization.
• Lead physician engagement and alignment efforts across interventional cardiology, electrophysiology, cardiac surgery, vascular, and structural heart programs.
• Facilitate clinician-led value analysis initiatives that balance clinical efficacy, patient outcomes, and financial stewardship.
• Act as a change leader in advancing standardization, utilization optimization, and evidence-based decision making.
• Develop and execute complex sourcing and contracting strategies for cardiovascular categories, with clear alignment to clinical and financial objectives.
• Lead end-to-end sourcing lifecycle, including market analysis, supplier evaluation, RFI/RFP development, negotiations, and implementation.
• Leverage deep knowledge of suppliers, technologies, and market dynamics to create a competitive advantage and mitigate risk.
• Partner with sourcing and executive leadership to influence enterprise contracting decisions and long-term supplier strategy.
• Build strong relationships with cardiologists, surgeons, and clinical leadership to influence product adoption and utilization.
• Translate complex data and market insights into clear, actionable recommendations for executives.
• Identify and drive measurable cost savings and value creation opportunities within cardiovascular spend categories.
• Support performance improvement initiatives across member organizations, including utilization management and contract compliance.
• Contribute to the development of scalable advisory offerings and best practices across cardiovascular service lines and audiences.
• Lead high-impact discussions with physicians and stakeholders in complex, highly matrixed environments.
• Lead or influence cross-functional teams, including sourcing, analytics, and clinical stakeholders, to execute strategic initiatives.
• Serve as a mentor and subject matter expert within the organization.
• Support education, training, and adoption of new processes, tools, and strategies across member organizations.

Director, Advisory Services – Cardiovascular

• Define and execute the spend analytics strategy aligned to GPO contracting and member value initiatives.
• Identify and quantify cost savings opportunities through price benchmarking, utilization analysis, and contract optimization.
• Drive standard methodologies for savings identification, tracking, and reporting across member organizations.
• Enhance visibility into supply chain performance to support data-driven decision making.
• Oversee development of dashboards, reporting, and advanced analytics focused on purchasing, utilization, and pricing performance.
• Ensure data integrity through strong governance, standardization, and alignment of item and supplier data.
• Partner with technology teams to improve data pipelines, accessibility, and reporting efficiency.
• Leverage tools such as SQL and Power BI/Tableau to deliver scalable, user-friendly insights.
• Partner directly with member hospitals and internal teams to translate analytics into actionable recommendations.
• Present insights in a clear, executive-ready format that drives adoption and decision making.
• Support clinical and supply chain leaders with data to inform product selection and utilization.
• Analyze contract utilization, compliance, and pricing effectiveness.
• Provide benchmarking insights against peer organizations and market data.
• Support sourcing teams with analytics for RFPs, negotiations, and supplier performance reviews.
• Lead and develop a team of analysts and BI resources (or serve as a player-coach depending on scale).
• Establish clear KPIs tied to analytics adoption, savings delivery, and data quality.
• Build a culture focused on practical, outcome-driven analytics.

Associate Consultant, Strategy

Manager, Follow Up

Client Success Manager

Coder, Pro

Manager, Coding

SQL Database Administrator

Senior Database Administrator

Associate Consultant, Strategy

Manager, Accounts Receivable

Director, Revenue Cycle Management

Coder

Client Operations Support Representative

Outpatient Specialty Coder

Director, Advisory Services – Cardiovascular

Director, Spend Analytics