Ovation Healthcare

Accounts Receivable

• Follow up with insurance payers on outstanding claims
• Break down obstacles to payment and accelerate cash collections
• 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 needed
• Document client host-system activity using the 5 W’s framework and applicable policies and procedures
• Copy account notes into Amplify’s workflow tool
• Assign status codes in Amplify to identify and address trends
• Write first- and second-level appeals for denials
• Escalate payer denial and other trends to Management
• Work assigned underpayments as directed by Management
• Maintain daily productivity and quality expectations
• Research and analyze correspondence related to assigned accounts

Accounts Receivable Specialist

General

• Manage the end-to-end provider enrollment process, including initial enrollment, recredentialing, revalidation, and payer contracting readiness
• Serve as a subject matter expert resource to clients on enrollment requirements, billing processes, payer setup, best practices, and compliance standards
• Prepare, complete, and submit enrollment applications for individual providers and healthcare facilities across commercial and government payers, including Medicare, Medicaid, and private insurers
• Maintain accurate and current provider records, including CAQH profiles, NPI registration, state license verifications, payer portal records, and other required documentation
• Track enrollment status, renewal deadlines, expirations, recredentialing, and revalidation requirements; proactively follow up with payers to support timely processing and approvals
• Communicate directly with clients, providers, payers, and internal teams to gather required documentation, resolve enrollment-related issues, and escalate barriers when appropriate
• Update, audit, and maintain provider participation status and demographic data within internal systems and credentialing databases
• Ensure payer setup and billing configuration meet contractual and regulatory requirements; advise clients on billing structure and enrollment implications
• Stay current with changes in payer requirements, healthcare regulations, and credentialing standards; apply this knowledge to client recommendations and internal processes
• Prepare and deliver regular status updates, dashboards, and reports to clients and internal leadership
• Lead or assist with enrollment audits and support implementation of corrective action plans as needed

Payer Relations Specialist

Administration

• Coordinate the routing, approval, execution, and filing of supplier agreements, amendments, renewals, and related contractual documents
• Monitor contract expiration dates, renewal timelines, and required actions, and communicate upcoming deadlines to stakeholders
• Maintain and administer contract repositories, documentation management platforms, and tracking systems
• Support implementation activities for newly executed agreements, including supplier onboarding and required documentation
• Support contract termination, amendment, and renewal processes according to organizational policies
• Ensure contract records, metadata, exhibits, pricing schedules, and supporting documentation are complete, accurate, accessible, and current
• Develop and maintain standardized document management practices and filing conventions
• Perform routine audits of contract files for accuracy, completeness, and compliance
• Support system enhancements and process improvements related to contract management technologies
• Assist internal stakeholders with locating contract documents, pricing schedules, participation forms, and agreement information
• Coordinate communications related to contract updates, renewals, amendments, and agreement launches
• Track supplier obligations, reporting requirements, and other contractual commitments
• Support compliance reviews, audits, and governance initiatives
• Monitor contract administration KPIs, dashboards, status reports, and operational metrics
• Escalate contract risks, discrepancies, or missing documentation as appropriate

Contract Administrator

• Follow up with insurance payers on outstanding claims
• Break down obstacles to payment and accelerate cash collections
• Follow up and collect on accounts in assigned inventory
• Use follow-up strategies and tools to resolve claims and obtain payment
• Escalate unpaid claims to payer claims supervisors when appropriate
• Document client host systems using the 5 W’s framework and applicable policies and procedures
• Copy account notes into Amplify’s workflow tool
• Assign status codes in Amplify to identify and address trends
• Write first- and second-level appeals for denials to secure payment
• Escalate payer denial and other trends to Management
• Work assigned underpayments as directed by Management
• Maintain daily productivity and quality expectations
• Research and analyze correspondence related to assigned accounts

Financial Planning and Analysis

• Serve as strategic financial advisor to executive leadership, providing CFO-level guidance on performance, priorities, growth, risk, and sustainability
• Lead preparation, review, and analysis of GAAP-compliant internal and external financial statements
• Develop and oversee operating and capital budgets, long-range plans, rolling forecasts, and financial models
• Analyze revenue, expenses, margins, productivity, and service-line performance; identify trends, risks, opportunities, and corrective actions
• Oversee cash flow, liquidity planning, banking relationships, debt obligations, working capital, and investment performance
• Advise on capital allocation and major financial commitments; develop business cases, ROI analyses, sensitivity analyses, and projections
• Assess and improve financial systems, reporting tools, accounting processes, and internal controls
• Provide executive oversight of general ledger, accounts payable, payroll, reporting, reconciliations, and financial controls
• Oversee reimbursement and payer-related matters, including Medicare, Medicaid, cost reporting, reimbursement analysis, and regulatory reporting
• Partner with operational leaders to improve financial literacy, metrics, and budget accountability
• Lead or coordinate annual audits and external reviews; liaise with auditors, actuaries, tax advisors, banks, consultants, and other financial partners
• Oversee federal, state, and local financial and tax reporting requirements
• Evaluate and update financial policies, procedures, and internal controls
• Prepare executive and board presentations, dashboards, forecasts, and recommendations
• Provide financial due diligence and integration support for acquisitions, affiliations, new service lines, restructuring, and strategic transactions
• Coach and develop finance leaders and staff and recommend organizational or staffing changes
• Assist with turnaround, stabilization, cost reduction, revenue enhancement, and performance improvement initiatives
• Maintain confidentiality and sound professional judgment with sensitive information
• Perform other CFO-level financial consulting and strategic assignments as requested

Senior Director, Finance

Operations

• Serve as a strategic and operational partner to the executive team supporting key business priorities and initiatives
• Translate strategic priorities into actionable plans, timelines, ownership, and measurable outcomes
• Facilitate alignment across leadership and key internal and external partners
• Identify emerging risks, issues, and dependencies and provide analyses, recommendations, and updates
• Prepare analyses, updates, recommendations, and materials supporting leadership discussions and decision-making
• Lead complex projects for new and existing clients, including project plans, milestones, deliverables, risks, and accountabilities
• Coordinate cross-functional teams from sales through implementation, stabilization, and transition to ongoing account management
• Lead client network status meetings, progress updates, issue resolution, and escalation of significant implementation risks
• Identify opportunities to improve services, tools, workflows, and handoffs
• Develop scalable practices that improve current and future offerings
• Support strategic initiatives and continuous improvement efforts using implementation and performance data

Senior Director, Operations

Data Engineer

• Design, develop, and maintain scalable data pipelines using Microsoft Fabric and Azure Data Services
• Design and implement Lakehouse and Warehouse data models, medallion architecture, and star-schema semantic models optimized for Direct Lake reporting
• Build, maintain, and optimize Fabric Notebooks using PySpark, Spark SQL, and/or Python
• Ingest, cleanse, and transform data at scale using Spark and Delta Lake performance best practices
• Collaborate with data analysts, data scientists, and business stakeholders to understand requirements and deliver actionable insights
• Implement data ingestion, transformation, and integration workflows using pipelines, Dataflows Gen2, and notebooks
• Select appropriate Fabric tools based on complexity, performance, and maintainability
• Monitor, troubleshoot, and optimize pipelines, notebooks, and data models for availability and accuracy
• Ensure compliance with data governance policies and industry regulations
• Document data models, architectures, processes, and workflows
• Stay current with Microsoft Fabric and Azure updates and recommend improvements
• Support deployment and maintenance of business intelligence and reporting platforms, including Power BI semantic models
• Work remotely from the United States with a secure, HIPAA-compliant workspace

MS Fabric Data Engineer

Team Lead

• Execute the call center's vision, mission, and objectives
• Meet or exceed departmental KPIs
• Provide ongoing two-way feedback and promote continuous improvement
• Support agents by handling complex accounts and escalated calls
• Maintain communication with agents, supervisors, and managers
• Conduct side-by-side live monitoring with Patient Account Resolution Specialists for up to 90 minutes daily
• Manage PIR and other incident-related cases
• Monitor queue status and call center operations
• Provide management with insights on employee performance and coaching needs
• Improve work processes and procedures
• Create, update, and maintain procedural documentation
• Monitor call center specialists and provide hands-on leadership each shift
• Manage billing office ticklers and contact patients for follow-up
• Assist with inbound and inbound dialer queues during high call volume
• Work rotational weekend, inclement-weather on-call, or after-hours shifts as required

Accounts Receivable Specialist

Payer Relations Specialist

Contract Administrator

Accounts Receivable Specialist

Senior Director, Finance

Senior Director, Operations

MS Fabric Data Engineer

Patient Account Resolutions Team Lead