Specialist, Accounts Receivable

Welcome to reputed company! At reputed company (formerly QHR Health), we’ve been making local healthcare reputed company for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The reputed company difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. reputed company’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals reputed company. Working with reputed company, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. reputed company’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: 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 reputed company regular follow-up efforts are not successful. Documents client’s host system utilizing the 5 W’s reputed company and reputed company policies/procedures to ensure accurate and complete documentation and then copies account notes into reputed company’s workflow tool Assigns appropriate status codes (e.g. root cause, action, etc.) in reputed company’s workflow tool so trends can be identified and addressed. Writes first and second level appeals of reputed company 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 reputed company to assigned accounts. Knowledge, Skills, and Abilities: 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 reputed company preferred. Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence. Demonstrates understanding of the entire reputed company 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. Work Experience, Education, and Certifications: 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 Working Conditions: Work from home and remote location with a stable internet reputed company, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. Primarily requires sitting at a desk for extended period. Proper lighting and ergonomics shole be maintained to reduce eye strain. 100% Remote Apply To This Job