[Hiring] Accounts Receivable Specialist @Ovation Healthcare

Role Description

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 experience and follow-up strategies and tools to resolve claims and obtain payment.
• Escalates unpaid claims to payer claims supervisor as appropriate when regular follow-up efforts are not successful.
• Documents client’s host system utilizing the 5 W’s framework and related policies/procedures to ensure accurate and complete documentation and then copies account notes into Amplify’s workflow tool.
• Assigns appropriate status codes (e.g. root cause, action, etc.) in Amplify’s workflow tool so trends 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.

Qualifications

• 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.
• Intermediate experience in Excel preferred.
• Provides information regarding patient accounts in response to inquiries, safeguarding confidential 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.

Requirements

• 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.

Benefits

• The base compensation range for this position is: $40,994.80 - $61,492.20.
• Compensation ranges could be hourly or salary depending upon the exempt status of the posted position.
• Beginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience.
• Typically, a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role.
• Compensation may increase over time based on performance, experience, and tenure.
• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage.
• HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts.
• Wellness platform with premium incentives.
• Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance.
• Robust and flexible paid time off offerings and company paid holidays.
• 401(k) plan with discretionary employer match opportunities.
• Professional development opportunities.
• Company issued equipment.