Job Description

Job Description

Welcome to Ovation Healthcare!

At Ovation Healthcare (formerly QHR Health), 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

The Integrated Billing Specialist is responsible for managing the daily billing and ensuring timely accurate clean claims, claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations.

DUTIES AND RESPONSIBILITIES:

· Data Verification: Reviewing and verifying billing data to ensure consistency and accuracy.

· Accounts Receivable: Managing accounts receivable, tracking payments, and following up on overdue

accounts.

· Discrepancy Resolution: Handling customer inquiries and resolving billing discrepancies promptly.

· Collaboration: Collaborating with other departments to ensure accurate billing information.

· Payment Processing: Processing and posting payments received.

· Insurance Claims: Assisting in the preparation and submission of insurance claims to various carriers,

ensuring accuracy and compliance.

· Compliance: Staying updated on changes in billing regulations and insurance practices.

· System Updates: Maintaining and updating customer billing records in the system.

· Client Communication: Communicating with clients to discuss account balances and payment

arrangements.

KNOWLEDGE, SKILLS, AND ABILITIES:

· Analytical Skills: Strong analytical abilities for reviewing data and identifying discrepancies.

· Communication Skills: Excellent written and verbal communication for handling customer inquiries and

collaborating with teams.

· Technical Skills: Proficiency in billing systems and Microsoft Office Suite.

· Problem-Solving Skills: Ability to identify and resolve billing issues efficiently.

· Attention to Detail: Accuracy in data entry and record-keeping is crucial.

· Organization: Managing multiple tasks, prioritizing workload, and meeting deadlines.

WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS:

HS Diploma or GED required

3+ years of billing, accounting or related field preferred.

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:

Ability to sit for extended periods of time

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