Specialist, Accounts Receivable

Ovation Healthcare • Crest, CA

5d • $40,995 - $61,492 • Remote

About The Position

The Specialist, Accounts Receivable follows up on and collects assigned accounts, using appropriate strategies and tools to resolve claims and obtain payment. The role documents account activity in the client’s host system and Amplify’s workflow tool, assigns status codes to support trend identification, researches correspondence, and prepares appeals for denied claims. The specialist may also work assigned underpayments and is responsible for meeting client- or position-specific productivity and quality expectations.

This position is 100% remote. The employee must work independently from home in a fast-paced, changing, goal-oriented environment, with stable internet, a quiet dedicated workspace, and necessary office equipment. Regular communication with team members, management, and clients occurs through email, phone, video meetings, and other collaborative tools. Work primarily involves sitting at a desk for extended periods; appropriate lighting and ergonomics should be maintained.

Ovation Healthcare supports independent hospitals and health systems through operational experience, consulting guidance, and technology-enabled shared services. Its mission is to strengthen independent community healthcare and help rural healthcare providers fulfill their missions.

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.
• Medical terminology, ICD-10, CPT, and DRG knowledge.
• Ability to work independently from home in a fast-paced, changing, goal-oriented environment.
• Understanding of the entire revenue cycle.
• Detail-oriented and organized, with critical-thinking skills.
• Ability to protect confidential information when responding to patient-account inquiries.
• Ability to work remotely with stable internet, a quiet dedicated workspace, and necessary office equipment.

Nice To Haves

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

Responsibilities

• Follow up on and collect accounts in assigned inventory, using strategies and tools to resolve claims and obtain payment.
• Escalate unpaid claims to payer claims supervisors when regular follow-up efforts are unsuccessful.
• Document account activity in the client’s host system using the 5 W’s framework and applicable policies and procedures, then copy notes into Amplify’s workflow tool.
• Assign appropriate status codes, such as root cause and action, in Amplify’s workflow tool to help identify and address trends.
• 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/or position-specific daily productivity and quality expectations.
• Research and analyze correspondence related to assigned accounts.
• Provide information about patient accounts in response to inquiries while safeguarding confidential information.
• Assist with problem solving, inquiries, and customer interactions to support positive results.

Benefits

• Comprehensive medical, dental, vision, life, and short- and long-term disability coverage.
• Health savings account with employer contributions and flexible spending accounts for healthcare 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