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Accounts Receivable Specialist
Ovation Healthcare. Follow up with insurance payers on outstanding claims, break down obstacles to payment, and accelerate cash collections .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and collections, with a strong understanding of the revenue cycle, medical terminology, and coding systems such as ICD-10 and CPT. Proven ability to work independently in a fast-paced environment while maintaining productivity and quality standards.
Highest-signal resume keywords
Medical TerminologyICD-10 KnowledgeCPT KnowledgeRevenue Cycle UnderstandingCollections 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
Claims Follow-UpAccount CollectionsAppeals WritingData AnalysisStatus Code Assignment
Soft Skills
Detail OrientedOrganizedCritical ThinkingProblem SolvingEffective Communication
Tools & Technologies
Amplify Workflow ToolExcel
Industry Keywords
Hospital Business OfficeInsurance CollectionsPatient AccountsConfidential Information Safeguarding
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 and collect on accounts in assigned inventory using experience, strategies, and tools
- Escalate unpaid claims to payer claims supervisors when regular follow-up is unsuccessful
- Document client host systems using the 5 W’s framework and applicable policies and procedures
- Copy account notes into Amplify’s workflow tool
- Assign appropriate status codes in Amplify to identify and address trends
- Write first- and second-level appeals for denials to overturn denials and 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
Requirements
What you’ll need- Must adapt and demonstrate the ability 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
- Intermediate experience in Excel preferred
- Provides information regarding patient accounts while safeguarding confidential information
- Demonstrates understanding of the entire revenue cycle
- Must be detail oriented, organized, and possess the ability to apply critical thinking skills
- Assists with problem solving, inquiries, and customer interaction to ensure positive results
- High school diploma or equivalent
- Additional training in hospital insurance collections is a plus
- 3-5 years of collections experience in a Hospital Business Office
- Stable internet connection, quiet dedicated workspace, and necessary office equipment
- Ability to communicate daily with team members, management, and clients through email, phone, video meetings, and collaborative tools
Benefits
Comp & perks- Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage
- HSA with employer contributions
- Flexible spending accounts for health care and dependent care accounts
- Wellness platform with premium incentives
- Employee assistance support
- Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
- Robust and flexible paid time off offerings
- Company paid holidays
- 401(k) plan with discretionary employer match opportunities
- Professional development opportunities
- Company issued equipment