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Accounts Receivable Specialist
Ovation Healthcare. Follow up with insurance payers on outstanding claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance claims follow-up, revenue cycle management, and third-party collections, with a strong focus on detail-oriented problem-solving and effective communication. Proficient in using tools like Amplify and Excel to manage accounts and enhance productivity.
Highest-signal resume keywords
Insurance Claims Follow-UpRevenue Cycle ManagementMedical TerminologyThird-Party Insurance CollectionsCollections Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10CPTDRG KnowledgeExcelClaims DocumentationAccount AnalysisAppeals WritingStatus Code AssignmentCash CollectionsProblem-Solving
Soft Skills
Detail-OrientedOrganizedCritical ThinkingCustomer InteractionIndependent Work
Tools & Technologies
AmplifyOffice EquipmentEmail CommunicationVideo MeetingsCollaborative Tools
Industry Keywords
Hospital Business OfficeRevenue CyclePatient Account InformationFast-Paced EnvironmentGoal-Oriented
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Must be able to work independently from home in a fast-paced, changing, and goal-oriented environment
- Direct account follow-up and/or billing experience
- Medical Terminology, ICD-10, CPT, and DRG knowledge preferred
- Intermediate experience in Excel preferred
- Knowledge of third-party insurance collections
- Understanding of the entire revenue cycle
- Detail-oriented and organized
- Critical thinking and problem-solving skills
- Ability to handle inquiries and customer interactions
- High school diploma or equivalent
- 3–5 years of collections experience in a Hospital Business Office
- Ability to safeguard confidential patient account information
- Stable internet connection and quiet, dedicated home workspace
- Ability to use necessary office equipment and communicate through email, phone, video meetings, and collaborative tools
Benefits
Comp & perks- Work from home/remote work arrangement
- Stable internet connection, quiet dedicated workspace, and necessary office equipment required for remote work
- Daily communication and collaboration through email, phone calls, video meetings, and collaborative tools