Specialist, Accounts Receivable

Ovation Healthcare • Crest, CA

7d • $40,995 - $61,492 • Remote

About The Position

The Accounts Receivable Specialist follows up with insurance payers on outstanding claims, resolves barriers to payment, and accelerates cash collections. The role manages assigned account inventory, uses follow-up strategies and tools to resolve claims and obtain payment, and may work assigned underpayments. It documents account activity in client and Ovation systems, applies workflow status codes to support trend analysis, and prepares appeals for denied claims. The position also researches account correspondence, escalates unresolved claims and payer trends, and meets client- and position-specific productivity and quality expectations.

The role requires independent work from home in a fast-paced, changing, goal-oriented environment, with regular communication with team members, management, and clients. It is remote and requires a stable internet connection, a quiet dedicated workspace, and access to necessary office equipment. Travel is not required.

Requirements

• High school diploma or equivalent.
• 3–5 years of collections experience for hospital claims.
• Direct account follow-up and/or billing experience.
• Ability to work independently from home in a fast-paced, changing, goal-oriented environment.
• Ability to protect confidential patient account information.
• Understanding of the entire revenue cycle.
• Detail-oriented and organized, with critical-thinking skills.
• Ability to communicate with team members, management, and clients by email, phone, video meetings, and other collaborative tools.

Nice To Haves

• Additional training in hospital insurance collections.
• Medical terminology, ICD-10, CPT, and DRG knowledge.
• Intermediate Excel experience.

Responsibilities

• Follow up on and collect assigned accounts, using strategies and tools to resolve claims and obtain payment.
• Escalate unpaid claims to payer claims supervisors when routine follow-up does not succeed.
• Document accounts in the client’s host system using the 5 W’s framework and applicable policies and procedures, then copy account notes into Ovation’s workflow tool.
• Assign appropriate status codes in the workflow tool, such as root cause and action codes, to support trend identification and resolution.
• Write first- and second-level appeals for denials to seek reversal and payment.
• Escalate payer denial and other trends to management for assistance.
• Work assigned underpayments as directed by management.
• Meet client- and 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 in verbal replies and correspondence.
• Assist with problem solving, inquiries, and customer interactions to support positive results.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED