Ovation Healthcare

The Specialist, Cash Posting is responsible for ensuring that all aspects of manual and electronic payments are accurately applied and reconciled in a timely manner. This includes payment posting, reviewing patient account balances, performing bank reconciliations, and resolving unapplied accounts. | Candidates should have a minimum of 3-5 years of direct cash handling experience in a healthcare setting and a high school diploma or GED equivalent. Strong communication skills and the ability to work independently in a remote environment are essential. | 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 www.ovationhc.com. Summary: The Specialist, Cash Posting is responsible for ensuring that all aspects of manual and electronic payments are accurately applied and reconciled within a timely manner. Duties and Responsibilities: Payment posting manual/Electronic (ERA’s) patient and insurance payments, adjustments, and/or denials Locate remittances & payments in various portals &/or clearinghouse Read and interpret EOB’s Apply copay/coinsurance and deductible balances to patient responsibility Review of patient account balances as needed to determine posting accuracy Perform payment deposit downloads and bank reconciliations Daily cash reconciliation and reporting Research and resolve unapplied accounts Flexibility to cross train/assist with training/cover for other team members and/or with other projects as needed Identify and report on trends/issues Prepare, reconcile and complete the local bank deposits for mail patient/insurance/accounting payments & other hospital/clinic departments (does not apply to home-based candidates) Maintain/reconcile petty cash funds, process point of service patient payments (does not apply to home-based candidates) Post monthly agency payment reports Work to resolve unidentified deposits Work posting issue work queues Knowledge, Skills and Abiities: 10 key calculator skills preferred Ability to read, speak, and write fluent English Data entry experience Familiarity with computers (MS/Excel applications). Basic to intermediate Excel skills preferred Requires developed communication skills to effectively work with all levels of management, peers and clients. Possesses excellent written and verbal communications. Ability to work as a team member, creating and maintaining effective working relationships. Must adapt and demonstrate the ability to work independently in a quiet, dedicated workspace from home in a fast-paced, changing and goal-oriented environment Must be detail oriented, a strong multi-tasker, resourceful and possess the ability to apply critical thinking skills to make good and independent decisions. Candidate must exhibit excellent time management organizational skills Work Experience, Education and Certificates: Minimum of 3-5 years (preferred) prior direct cash handling experience in healthcare setting High school diploma or GED equivalent required Home-Based (remote) position requires a reliable high speed internet connection Working Conditions and Physical Requirements: 100% Remote 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 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.

The Specialist, Billing is responsible for managing daily billing processes, ensuring timely and accurate claims, and resolving billing edits. This role involves maintaining compliance with insurance billing policies and regulations while collaborating with internal departments. | Candidates should have 3-5 years of experience in third-party insurance billing, preferably in a healthcare setting, along with knowledge of billing codes and guidelines. A high school diploma is required, and additional training in medical billing is a plus. | 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 www.ovationhc.com. Summary: The Specialist, Billing 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: Extensive understanding of billing guidelines for UB/1500 claims and a deep understanding of each claim field requirement. Maintain a list of split billing requirements by payer and add to the team crosswalk and keep abreast of any payer changes. The billing specialist should be well versed in Payer portal appeal uploads and assist with providing the internal team feedback when necessary. Import claims from host system into claims processing system when required. Review claims that are pended for edits and resolve. Prepare and submit accurate claims for patient services, ensuring compliance with third party payer guidelines and regulations. Review patient accounts and reconcile payments with secondary payers and review remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed before filing the secondary payer. Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies. Maintain accurate records of all claims and ensure proper documentation in the patient account system. Meet daily productivity and quality standards as assigned. Work with internal departments, such as patient financial services, finance, and billing, to address any issues or disputes affecting patient accounts. Assist management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows. Knowledge, Skills, and Abilities: Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting. In-depth knowledge of billing codes, guidelines, and regulations. Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing. Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively. Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. Problem-solving abilities, particularly regarding billing discrepancies and denied claims. Work Experience, Education and Certificates: Experience utilizing Payer portals, client systems and clearing house requirements 3-5 years of experience as a primary biller in hospital Business Office. Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer guidelines High school diploma or equivalent; additional training in medical billing is a plus. Working Conditions and Physical Requirements: Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. Primarily requires sitting at a desk for extended period. Proper lighting and ergonomics shole be maintained to reduce eye strain. Travel Requirements: None 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 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.

The Specialist, Revenue Recovery will analyze client accounts for potential denials or underpayments and conduct investigations into technical denials. They will also collaborate with Clinical Appeals Specialists and Certified Coders to resolve complex payment issues and contribute to performance reports. | Candidates should have a strong understanding of the healthcare revenue cycle and at least 2 years of experience in healthcare accounts receivable or revenue cycle resolution. A high school diploma is required, with an associate's or bachelor's degree preferred. | DUTIES AND RESPONSIBILITIES: Denial and Underpayment Analysis: Utilize the Health Innovas "Pulse" platform to systematically review client accounts flagged for potential denials or underpayments. Conduct deep-dive investigations into technical denials, including those related to eligibility, registration errors, missing authorizations, and other administrative issues. Analyze explanation of benefits (EOBs) and compare actual payments against modeled payer contracts to precisely identify and quantify contractual underpayments. Resolution and Recovery: Correct data errors and resubmit claims in a timely manner to resolve technical denials. Prepare detailed documentation and justification to support underpayment appeals and resolution efforts. Collaborate with Clinical Appeals Specialists (RNs) and Certified Coders by gathering necessary documentation for complex clinical and coding-related denials. Process Improvement and Reporting: Diagnose the root cause of each denial and underpayment to identify trends by payer, service line, and denial reason. Meticulously document all actions, findings, and communications within the Pulse platform to ensure a clear audit trail and support team collaboration. Contribute to performance reports that provide actionable insights to both internal leadership and clients, helping to prevent future revenue leakage. Team Collaboration: Serve as a key resource for resolving complex payment issues, working alongside Payer Contract Specialists and Denial Management leadership. Participate in ongoing training to master the Pulse platform and stay current on evolving payer rules and denial trends. KNOWLEDGE, SKILLS, AND ABILITIES: Strong foundational understanding of the healthcare revenue cycle, including claims submission, remittance processing, and follow-up. Demonstrated analytical and critical thinking skills with a high level of attention to detail. Excellent written and verbal communication skills, with the ability to clearly and concisely document account activity. Proficient with computers and technology, with an aptitude for quickly learning and mastering new software platforms. Prior experience specifically in denial analysis or underpayment identification. Familiarity with reading and interpreting payer contracts and fee schedules. Experience working within various payer portals and systems. WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS: High School Diploma or equivalent required, Associate's or Bachelor's degree in a related field preferred. Minimum of 2+ years of experience in healthcare accounts receivable (AR), hospital billing, or revenue cycle resolution. Experience working within various payer portals and systems. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: 100% Remote Reliable high-speed internet connection is required for all remote/hybrid positions. Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations. 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 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.