Specialist, Accounts Receivable

Ovation Healthcare • Goshen, IN

11h • Remote

About The Position

The Specialist, Accounts Receivable follows up with insurance payers on outstanding claims, resolves obstacles to payment, and accelerates cash collections. The role supports independent hospitals and health systems through Ovation Healthcare’s shared services and works with client accounts in a remote, goal-oriented environment.

The specialist manages assigned account inventory, investigates claim status and related correspondence, pursues payment, and writes appeals for denied claims. The role documents account activity in client systems and Ovation’s workflow tool, uses status codes to support trend identification, escalates unresolved claims and payer trends, and may work assigned underpayments. The position requires meeting client- or position-specific productivity and quality expectations while protecting confidential patient information and supporting positive customer interactions.

Requirements

• High school diploma or equivalent.
• 3–5 years of collections experience in a hospital business office.
• Direct account follow-up and/or billing experience.
• Knowledge of medical terminology, ICD-10, CPT, and DRG.
• Ability to work independently from home in a fast-paced, changing, goal-oriented environment.
• Understanding of the entire revenue cycle.
• Detail-oriented, organized, and able to apply critical-thinking skills.
• Ability to maintain daily communication with team members, management, and clients through email, phone, video meetings, and other collaborative tools.
• Stable internet connection and a quiet, dedicated workspace free of distractions, with access to necessary office equipment.

Nice To Haves

• Additional training in hospital insurance collections.
• Intermediate experience in Excel.

Responsibilities

• 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 routine follow-up is unsuccessful.
• Document account activity in the client 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, such as root cause and action codes, in Amplify’s workflow tool to help identify and address trends.
• Write first- and second-level appeals for denials to seek overturns and payment.
• Escalate payer denial and other trends to management for assistance.
• Work assigned underpayments when directed by management.
• Meet client- and/or position-specific daily productivity and quality expectations.
• Research and analyze correspondence related to assigned accounts.
• Respond to patient-account inquiries while safeguarding confidential information in verbal replies and correspondence.
• Assist with problem solving, inquiries, and customer interactions to achieve positive results.

Benefits

• Comprehensive health and wellness benefits, including 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 offerings 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