Specialist, Accounts Receivable

Ovation Healthcare•Boise, ID

4d•$40,995 - $61,492•Remote

About The Position

Ovation Healthcare is seeking a Specialist, Accounts Receivable to follow up with insurance payers on outstanding claims, address obstacles to payment, and accelerate cash collections. The role supports independent hospitals and health systems through Ovation Healthcare’s shared services and operations expertise. The Specialist manages assigned accounts, researches and analyzes related correspondence, pursues payment, and writes first- and second-level appeals for denied claims. The position documents account activity in client systems and Amplify’s workflow tool, applies status codes to help identify trends, and escalates unpaid claims or payer trends when needed. The role may also handle assigned underpayments and must meet client- or position-specific daily productivity and quality expectations. This is a 100% remote position. The employee needs a stable internet connection, a quiet and dedicated workspace, and necessary office equipment, and will communicate daily with team members, management, and clients through email, phone, video meetings, and other collaborative tools. Work primarily involves sitting at a desk for extended periods; proper lighting and ergonomics should be maintained.

Requirements

High school diploma or equivalent.
3–5 years of accounts receivable or collections experience.
Direct account follow-up and/or billing experience.
Ability to adapt and work independently from home in a fast-paced, changing, goal-oriented environment.
Knowledge of medical terminology, ICD-10, CPT, and DRGs.
Understanding of the entire revenue cycle.
Detail orientation, organization, and critical-thinking skills.
Ability to safeguard confidential patient information in verbal replies and correspondence.
Stable internet connection, a quiet dedicated workspace free of distractions, and access to necessary office equipment.

Nice To Haves

Additional training in hospital insurance collections.
Intermediate Excel experience.
Meditech Expanse experience.

Responsibilities

Follow up on and collect assigned accounts using appropriate strategies and tools to resolve claims and obtain payment.
Escalate unpaid claims to payer claims supervisors when routine follow-up efforts are unsuccessful.
Document accounts in the client’s host system using the 5 W’s framework and applicable policies and procedures, then copy account notes into Amplify’s workflow tool.
Assign appropriate status codes in Amplify’s workflow tool so trends can be identified and addressed.
Write first- and second-level appeals of denials to seek overturns and payment.
Escalate payer denial and other trends to Management for further assistance.
Work assigned underpayments as directed by Management.
Meet client- or position-specific daily productivity and quality expectations.
Research and analyze correspondence related to assigned accounts.
Respond to inquiries about patient accounts while safeguarding confidential information.
Assist with problem solving, inquiries, and customer interactions to support positive results.
Communicate daily with team members, management, and clients through email, phone calls, video meetings, and other collaborative tools.

Benefits

Medical, dental, vision, and life insurance.
Short- and long-term disability coverage.
Health savings account with employer contributions.
Flexible spending accounts for health care and dependent care.
Wellness platform with premium incentives.
Employee assistance support.
Voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.
Flexible paid time off offerings and company-paid holidays.
401(k) plan with discretionary employer match opportunities.
Professional development opportunities.
Company-issued equipment.