Revenue Acceleration Insurance Specialist

Quorum Health Resources
Brentwood, TN ()
Remote
Full-time

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare.

We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable.

With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations.

Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit

Summary :

The Revenue Acceleration Insurance Specialist is responsible for collections, billing, and follow up for insurance claims on patient accounts.

This position is currently remote with the option to work on-site locally.

Education or Prior Experience :

High school diploma required

Bachelors degree preferred

2+ years of previous insurance billing experience required

Hospital or Physician Business Office work experience required

Billing / Coding certificate preferred

Duties and Responsibilities :

Ensure all accounts have been billed in HOST system by designed payer requirement dates for prompt payment.

Ensure all claim edits have resolved and claim is accepted by the payer

Work all accounts that have been billed to insurance for their assigned clients through completion

Responsible for maintaining appropriate Key Performance Indicators as designated by Leadership and project

Provide feedback to Management on any issues concerning call center behavior as it relates to agent tickets.

Provide feedback to Management on any client issues in time for scheduled client meetings.

Meet deadlines with frequent interruptions and redefined priorities.

Communicates all feedback, client updates, and recommendations to all levels within the organization using professionalism, positive attitude, and discretion to achieve objectives.

Meet all out of guideline requirements set forth by department leadership.

Required Knowledge, Skills and Abilities :

Extensive knowledge of client requirements and guidelines

Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology.

Efficient in Microsoft Office products, especially Excel and Word

Understanding of billing and recovery cycle

Knowledge of insurance collections and billing regulations

Understanding of legal rules and regulations pertaining to billing, collections, and HIPPA

Active Listening Giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Reading Comprehension Understanding written sentences and paragraphs in work related documents.

Speaking Talking to others to convey information effectively.

Service Orientation Actively looking for ways to help people.

Writing Communicating effectively in writing as appropriate for the needs of the audience.

Coordination Adjusting actions in relation to others' actions.

Time Management Managing one's own time and the time of others.

Social Perceptiveness Being aware of others' reactions and understanding why they react as they do.

Monitoring Monitoring / Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Active Learning Understanding the implications of new information for both current and future problem-solving and decision-making.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Judgment and Decision Making Considering the relative costs and benefits of potential actions to choose the most appropriate one.

English Comprehension The ability to fluently communicate in and understand English, the primary language of the work team.

Written Comprehension The ability to read and understand information and ideas presented in writing.

Written Expression The ability to communicate information and ideas in writing so others will understand.

Oral Comprehension The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression The ability to communicate information and ideas verbally so others will understand.

Speech Recognition The ability to identify and understand the speech of another person.

Speech Clarity The ability to speak clearly so others can understand oral communication.

Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Inductive Reasoning The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Selective Attention The ability to concentrate on a task over a period of time without being distracted.

Category Flexibility The ability to generate or use different sets of rules for combining or grouping things in different ways.

Desired Qualities :

Attention to Detail Job requires being careful about detail and thorough in completing work tasks.

Dependability Job requires being reliable, responsible, and dependable, and fulfilling obligations.

Cooperation Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.

Independence Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.

Initiative Job requires a willingness to take on responsibilities and challenges.

Integrity Job requires being honest and ethical.

Discretion Job requires the handling of sensitive information and keeping this information confidential. This job also requires discernment of knowing when information should be kept confidential, even when it is not explicitly stated to be so.

Stress Tolerance Job requires accepting criticism and dealing calmly and effectively with high stress situations.

Adaptability / Flexibility Job requires being open to change (positive or negative) and to considerable variety in the workplace.

Persistence Job requires persistence in the face of obstacles.

Social Orientation Job requires comfortably working with others, and being personally connected with others on the job.

Achievement / Effort Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.

Analytical Thinking Job requires analyzing information and using logic to address work-related issues and problems.

Innovation Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.

Working Conditions :

This position is located interchangeably in an off-site and an office environment and requires the following physical abilities :

Performing work at a stationary work station for 8 hours

Interacting with a desktop computer or laptop

Entering data into systems using a mouse and keyboard

Ability to communicate clearly with others over a telephone system

Ability to work at a pace that allows the employee to meet the standard goals as set forth by management

30+ days ago
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