RCM Analyst (Remote)

Ovation Healthcare Opportunity

Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better 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 Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare'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 thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN.

Amplify, an Ovation Healthcare company, is seeking strong revenue cycle analysts with hospital claims experience.

Applicants must be knowledgeable in the areas of AR follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation.

The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.

Qualifications:

• Hospital Billing/Collections: 3+ years (Preferred)
• Work from Home Position Requires Reliable High Speed Internet Connection

Essential Functions:

• Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed.
• Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.
• Provides precise documentation of all actions taken on accounts worked.
• Maintains client and/or position specific daily productivity and quality expectations

Required Skills and Experience:

• Hospital Billing/Collections or Medical Billing: 3+ years (Preferred)
• Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.
• Must be detail oriented, organized, and possess the ability to apply critical thinking skills.