Ovation Healthcare

Accounts Receivable Specialist

Ovation Healthcare

full-time

Posted on:

Location Type: Remote

Location: Remote • Tennessee • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Follow-up with insurance payers on outstanding claims
  • Break down obstacles to payment and accelerate cash collections
  • Responsible for follow-up and collecting on accounts in assigned inventory
  • Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment
  • Escalates unpaid claims to payer claims supervisor as appropriate
  • Documents client’s host system utilizing the 5 W’s framework
  • Writes first and second level appeals of all denials
  • Maintains client and/or position specific daily productivity and quality expectations
  • Researches and analyzes any correspondence received related to assigned accounts

Requirements

  • High school diploma or equivalent
  • 3-5 years of collections experience in a Hospital Business Office
  • Direct account follow-up and/or billing experience
  • Medical Terminology, ICD-10, CPT and DRG knowledge preferred
  • Knowledge of third-party Insurance payer guidelines
  • Intermediate experience in Excel preferred
  • Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
Benefits
  • Work from home and remote location with a stable internet connection
  • Daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
collections experiencebilling experienceMedical TerminologyICD-10CPTDRGthird-party Insurance payer guidelinesExcelclaims follow-upappeals writing
Soft skills
detail orientedorganizedcritical thinking
Certifications
high school diploma or equivalent
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