RCM Analyst - Remote

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 https://ovationhc.com. Description Amplify, an Ovation Healthcare company, is seeking strong revenue cycle analysts with hospital claims experience. Applicants must be knowledgeable in the areas of AR follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation.  The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources. Qualifications Hospital Billing/Collections: 3+ years (Preferred) Work from Home Position Requires Reliable High Speed Internet Connection Essential Functions Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed. Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope. Provides precise documentation of all actions taken on accounts worked. Maintains client and/or position specific daily productivity and quality expectations Required Skills and Experience Hospital Billing/Collections or Medical Billing: 3+ years (Preferred) Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment. Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at communications@ovationhc.com for verification. Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 220+ hospitals and health systems across 40+ states. For 45 years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Octave Advisory Services, Elevate Supply and Expense Management Solutions, Amplify Revenue Cycle Management, Forte Professional Solutions, and Cadence Clinical Services– designed to provide scale and efficiency to hospital business operations.