Accounts Receivable Specialist
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Job Description
Accounts receivable specialist pursuing payer claims, appeals, and collections for Ovation Healthcare’s independent hospital clients. Managing revenue-cycle documentation, denials, and payment obstacles remotely.
Responsibilities:
- Follow up with insurance payers on outstanding claims
- Break down obstacles to payment and accelerate cash collections
- Follow up on and collect assigned accounts
- Use follow-up strategies and tools to resolve claims and obtain payment
- Escalate unpaid claims to payer claims supervisors when appropriate
- Document client host systems using the 5 W’s framework and applicable policies/procedures
- Copy account notes into Amplify’s workflow tool
- Assign status codes in Amplify to identify and address trends
- Write first- and second-level appeals for denials
- Escalate payer denial and other trends to Management
- Work assigned underpayments as directed by Management
- Maintain daily productivity and quality expectations
- Research and analyze correspondence related to assigned accounts
Requirements:
- Must work independently from home in a fast-paced, changing, goal-oriented environment
- Direct account follow-up and/or billing experience
- Knowledge of Medical Terminology, ICD-10, CPT, and DRG
- Intermediate Excel experience preferred
- Ability to safeguard confidential patient account information
- Understanding of the entire revenue cycle
- Detail-oriented and organized
- Critical thinking and problem-solving skills
- Ability to handle inquiries and customer interaction
- 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
- Stable internet connection, quiet dedicated workspace, and access to necessary office equipment
Benefits:
- Work from home/remote location
- Stable internet connection, quiet dedicated workspace, and necessary office equipment
- Daily communication and collaboration with team members, management, and clients through email, phone, video meetings, and collaborative tools
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