Specialist, Accounts Receivable

Ovation Healthcare•Crest, CA

4d•$40,995 - $61,492•Remote

About The Position

The Specialist, Accounts Receivable follows up with insurance payers on outstanding claims, addresses obstacles to payment, and accelerates cash collections. The role manages assigned account inventory, applies follow-up strategies and tools to resolve claims and obtain payment, and escalates claims or trends when needed. It also documents account activity in client systems and Amplify’s workflow tool, writes appeals for denied claims, researches account correspondence, and may work assigned underpayments. The position requires maintaining client- or role-specific productivity and quality expectations while protecting confidential patient account information. It is a work-from-home role requiring a stable internet connection, a quiet dedicated workspace, and the ability to communicate regularly with team members, management, and clients. Travel is not required.

Requirements

High school diploma or equivalent.
Three to five years of collections experience in a hospital business office.
Direct account follow-up and/or billing experience.
Ability to work independently from home in a fast-paced, changing, goal-oriented environment.
Ability to maintain confidentiality when handling patient account information.
Understanding of the entire revenue cycle.
Detail-oriented and organized, with the ability to apply critical-thinking skills.

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 appropriate strategies and tools to resolve claims and obtain payment.
Escalate unpaid claims to payer claims supervisors when regular 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, such as root cause and action codes, in Amplify’s workflow tool to support identification and resolution of trends.
Write first- and second-level appeals of 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- 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.
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.
Company-paid holidays.
401(k) plan with discretionary employer match opportunities.
Professional development opportunities.
Company-issued equipment.