Ovation Healthcare

Support hospital executive leadership in healthcare operations, compliance, and revenue cycle activities, including projects and strategic initiatives. | Pursuing a degree in Healthcare Administration, Business, or related field, with strong analytical and communication skills, and proficiency in Microsoft Office. | 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: We are seeking a highly motivated and detail-oriented Healthcare Leadership Intern to join our team. This internship offers a unique opportunity to gain comprehensive exposure to all aspects of healthcare management within a hospital executive leadership environment. The ideal candidate will work closely with senior leaders and cross-functional teams to understand the complexities of healthcare operations, strategy, and compliance. Key Responsibilities: As a Healthcare Leadership Intern, you will: • Shadow and support hospital executive leadership in day-to-day decision-making and strategic initiatives. • Participate in projects across shared services, consulting, and enterprise strategy. • Assist with compliance reviews, legal documentation, and regulatory reporting. • Gain hands-on experience in contracting and group purchasing processes. • Support revenue cycle management activities, including billing and reimbursement workflows. • Collaborate with IT teams on healthcare technology projects and data governance. • Contribute to financial analysis, budgeting, and forecasting efforts. • Engage with legal and risk management teams to understand healthcare law and policy implications. • Prepare presentations, reports, and dashboards for leadership meetings. Learning Objectives: • Develop a holistic understanding of hospital operations and governance. • Learn best practices in healthcare compliance, contracting, and financial management. • Gain exposure to strategic planning and consulting methodologies in healthcare. • Understand the role of technology and data analytics in improving patient care and operational efficiency. Qualifications: • Currently pursuing a Bachelor’s or Master’s degree in Healthcare Administration, Business, Public Health, or related field. • Strong analytical, organizational, and communication skills. • Ability to work independently and collaboratively in a fast-paced environment. • Proficiency in Microsoft Office Suite; familiarity with healthcare IT systems is a plus.

Oversee and coordinate field support teams, ensure effective technical support at client sites, and manage escalated issues. | Associates Degree preferred, Microsoft Windows expertise, reliable internet, HIPAA compliance. | 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 www.ovationhc.com. General summary: The Field Operations Tech Lead is responsible for overseeing the field operations team, ensuring that technical support and services are delivered effectively and efficiently at client locations. This role involves supervising and coordinating on-site technicians, providing mentorship, and ensuring that service requests are handled promptly and professionally. The Field Operations Tech Lead is a subject matter expert in troubleshooting, installation, and maintenance of a variety of hardware and software systems. This position also involves managing complex or escalated technical issues, handling client communications, and overseeing the progress of work to ensure that all issues are resolved according to established standards and deadlines. The Tech Lead plays an integral role in ensuring that all on-site support is delivered effectively, and that the team adheres to best practices, operational procedures, and customer service excellence. This position may also require travel to client sites for on-the-ground troubleshooting, installations, and system maintenance. Duties and Responsibilities: Oversee the field operations team to ensure effective and efficient delivery of technical support and services at client locations. Supervise and coordinate on-site technicians, providing mentorship and guidance. Ensure service requests are handled promptly, professionally, and according to standards. Serve as a subject matter expert in troubleshooting, installation, and maintenance of various hardware and software systems. Manage complex or escalated technical issues and handle client communications. Monitor work progress to ensure resolution of issues within established standards and deadlines. Enforce best practices, operational procedures, and customer service excellence across the team. Travel to client sites as needed for on-the-ground troubleshooting, installations, and system maintenance. EDUCATION: Associates Degree Preferred CERTIFICATIONS/LICENSES: Microsoft Workstation Windows 7 & 10 Preferred WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: 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.

Manage provider enrollment processes, ensure compliance, and maintain accurate provider records. | Experience in healthcare provider enrollment, familiarity with payer systems, and strong organizational skills. | 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. Summary: The Payer Enrollment Specialist is responsible for supporting clients throughout the enrollment lifecycle and setup to ensure alignment with contractual and compliance requirements. This role is responsible for enrolling healthcare providers with commercial and government payers, ensuring timely credentialing and participation in insurance networks to ensure timely and accurate credentialing and participation in payer networks. Duties and Responsibilities: • Manage the end-to-end provider enrollment process, including initial credentialing, recredentialing, revalidations, and payer contracting readiness. • Serve as a subject matter expert resource to clients on enrollment, best practices, and compliance requirements. • Prepare, complete, and submit enrollment for individual providers and healthcare facilities across a range of commercial and government payers, e.g., Medicare, Medicaid, private insurers. • Maintain accurate and up-to-date provider records, including CAQH profiles, NPI registration, state license verifications, and other required documentation. • Track enrollment status, renewal deadlines, and expirations; proactively follow up with payers to ensure timely processing and approvals • Communicate directly with clients, providers, payers, and internal teams to gather required documentation and resolve enrollment-related issues. • Update and maintain provider participation status within internal systems and credential databases. • Audit and maintain provider data in internal systems and credentialing databases- • Stay current with changes in payer requirements, healthcare regulations, and credentialing standards; apply this knowledge to client recommendations and internal processes. • Prepare and deliver regular status updates, dashboards, and reports to clients and internal leadership. • Lead or assist in enrollment audits and implement corrective action plans as needed. Qualifications: • Associate's or bachelor’s degree in healthcare administration, business, or related field preferred. • Minimum of 3 years of experience in provider enrollment, billing, credentialing, or client-facing healthcare services role. • Working knowledge of commercial and government insurance payers. • Proficiency in Microsoft Office Suite and credentialing/enrollment software systems (e.g., CAQH, PECOS, Availity). • Excellent communication and organizational skills with strong customer service.

Assist in the preparation and maintenance of patient accounts, including verifying information and generating invoices. Respond to patient inquiries related to account balances and provide administrative support to the Accounts Receivables team. | Previous experience in patient accounts or billing in a healthcare setting is preferred. Strong organizational and communication skills are essential, along with basic knowledge of medical billing codes and proficiency in Microsoft Office Suite. | Duties and Responsibilities: Assist in the preparation and maintenance of patient accounts by verifying information, mailing claims, and updating account details. Assist in generating patient invoices and billing statements for services rendered. Ensure that all required billing documentation is completed and filed appropriately. Respond to patient phone calls and emails related to account balances, billing inquiries, and payment options. Provide general administrative support to the Accounts Receivables team as needed, including filing, faxing, and data entry. Assist in generating standard reports on accounts receivable, payment collections, and aging accounts. Knowledge, Skills, and Abilities: Previous experience in patient accounts, billing, or clerical support in a healthcare setting is preferred. Strong organizational skills and attention to detail. Excellent communication skills, both written and verbal. Basic knowledge of medical billing codes and insurance processes (preferred). Proficiency in Microsoft Office Suite and billing software. Ability to handle sensitive and confidential information with discretion. 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.

Manage strategic healthcare accounts, drive value and savings, and develop long-term partnerships with C-suite executives. | 7+ years in healthcare supply chain or GPO management, strategic account experience, proficiency in data visualization tools, and a bachelor's degree in business or related field. | 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. Summary: The Senior Director, Client Engagement serves as the principle executive contact with Ovation’s Spend Management members. In this role, the Senior Director is responsible for working with strategic members, specifically the C-Suite and Executive Leadership, to drive value and savings to enhance their performance, as well as expanding Ovation Healthcare’s footprint with the member and driving growth. The ability to travel up to 60%, including overnight travel, is required for the role. Duties and Responsibilities: • Keeps the organization’s vision and values at the forefront of decision-making and action. • Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. • Monitors key performance metrics and report progress to senior leadership team. • Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization, building credibility and trust through collaboration. • Moves strategic customers from current state to a trusted strategic partnership; formalize partnership through an agreement that is recognized across Ovation Healthcare and the account. • Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. • Leads solution development efforts that best address customer needs, while coordinating the involvement of all necessary Ovation Healthcare personnel. • Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones for a one-to-three-year period that leads to a clear action plan for success. • Builds strategic partnerships with accounts to further advance company goals of revenue and margin enhancement. • Develops internal processes and initiatives to drive revenue growth and enhance productivity. • Identifies opportunities to promote and present other Ovation value added services, i.e. Leadership & Advisory, Revenue Cycle, & Technology Solutions. • Represents Ovation Healthcare at industry conferences and events – Provide executive presentations, as needed. • Contributes to organizational strategy by sharing client feedback and market intelligence. • Leads direct reports, as needed (i.e., Directors, Managers, Analysts, etc.) • Fosters a culture of collaboration, professional development, and continuous improvement. • Participate in prospective member (sales) presentations, as needed. Knowledge, Skills & Abilities: • Extensive knowledge of the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel • Excellent communication and inter-personal skills; able to present and influence credibly and effectively at all levels of the organization including the C-Suite. • Provide consultative direction toward predetermined long-range goals and objectives, where assignments are often self-initiated. • Passion for results-- able to drive high standards for self; tenaciously working to meet or exceed challenging goals. • Ability to demonstrate financial knowledge and business acumen. • Exceptional Project Management, communication, negotiation, and presentation skills. • Proven ability to successfully manage multiple projects and timelines. • Working knowledge of purchased services and capital equipment planning. • Supply Chain Processes - Demonstrated understanding of end-to-end supply chain processes. • Ability to effectively negotiate with a record of accomplishment of results. • Demonstrated ability to calculate figures and amounts such as savings, rebates, fees, and percentages, as well as analyze statistical and financial data. • Ability to understand and follow spreadsheets and contract language. • Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow with minimal direction. • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. • Ability to initiate tough conversations, effectively manage internal politics, and handle conflict in a healthy, relationship-building manner. • Must demonstrate executive presence and emotional intelligence, remaining calm and confident in challenging situations. • Ability to successfully manage a team. • Intimate understanding of all internal functions of both Ovation Healthcare and the accounts assigned. • Proven ability to identify and capitalize on cross-selling and upselling opportunities. • Excellent time management skills with ability to use independent judgment effectively. • Ability to execute, both independently and as a collaborate member of various teams and committees. Work Experience, Education, and Certifications: • Bachelor’s degree in business or management related field, MBA preferred. • Demonstrated understanding of group purchasing organizations and supply chain processes, acquired through 7+ years of experience. • Minimum 5+ years of strategic account management experience. • Skilled in coaching and mentoring leaders to build organizational bench strength. • Sales experience- prospecting, pipeline development, conversion not required but helpful. • Value analysis experience not required, but helpful. • Project management experience or knowledge. • Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies • Experience with Excel, Word, Outlook, and PowerPoint • CRM (Salesforce) experience preferred. • Ability to execute responsibilities in a hybrid work environment. Travel Requirements: • Travel up to 60%, including overnight travel, is required for the role.

Manage strategic healthcare accounts, drive value and savings, and build trusted relationships with C-suite executives. | Minimum 5+ years in strategic account management within healthcare, with knowledge of supply chain, data analysis tools, and leadership skills. | 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 . Summary: The Senior Director, Client Engagement serves as the principle executive contact with Ovation’s Spend Management members. In this role, the Senior Director is responsible for working with strategic members, specifically the C-Suite and Executive Leadership, to drive value and savings to enhance their performance, as well as expanding Ovation Healthcare’s footprint with the member and driving growth. The ability to travel up to 60%, including overnight travel, is required for the role. Duties and Responsibilities: • Keeps the organization’s vision and values at the forefront of decision-making and action. • Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. • Monitors key performance metrics and report progress to senior leadership team. • Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization, building credibility and trust through collaboration. • Moves strategic customers from current state to a trusted strategic partnership; formalize partnership through an agreement that is recognized across Ovation Healthcare and the account. • Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. • Leads solution development efforts that best address customer needs, while coordinating the involvement of all necessary Ovation Healthcare personnel. • Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones for a one-to-three-year period that leads to a clear action plan for success. • Builds strategic partnerships with accounts to further advance company goals of revenue and margin enhancement. • Develops internal processes and initiatives to drive revenue growth and enhance productivity. • Identifies opportunities to promote and present other Ovation value added services, i.e. Leadership & Advisory, Revenue Cycle, & Technology Solutions. • Represents Ovation Healthcare at industry conferences and events – Provide executive presentations, as needed. • Contributes to organizational strategy by sharing client feedback and market intelligence. • Leads direct reports, as needed (i.e., Directors, Managers, Analysts, etc.) • Fosters a culture of collaboration, professional development, and continuous improvement. • Participate in prospective member (sales) presentations, as needed. Knowledge, Skills & Abilities: • Extensive knowledge of the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel • Excellent communication and inter-personal skills; able to present and influence credibly and effectively at all levels of the organization including the C-Suite. • Provide consultative direction toward predetermined long-range goals and objectives, where assignments are often self-initiated. • Passion for results- able to drive high standards for self; tenaciously working to meet or exceed challenging goals. • Ability to demonstrate financial knowledge and business acumen. • Exceptional Project Management, communication, negotiation, and presentation skills. • Proven ability to successfully manage multiple projects and timelines. • Working knowledge of purchased services and capital equipment planning. • Supply Chain Processes - Demonstrated understanding of end-to-end supply chain processes. • Ability to effectively negotiate with a record of accomplishment of results. • Demonstrated ability to calculate figures and amounts such as savings, rebates, fees, and percentages, as well as analyze statistical and financial data. • Ability to understand and follow spreadsheets and contract language. • Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow with minimal direction. • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. • Ability to initiate tough conversations, effectively manage internal politics, and handle conflict in a healthy, relationship-building manner. • Must demonstrate executive presence and emotional intelligence, remaining calm and confident in challenging situations. • Ability to successfully manage a team. • Intimate understanding of all internal functions of both Ovation Healthcare and the accounts assigned. • Proven ability to identify and capitalize on cross-selling and upselling opportunities. • Excellent time management skills with ability to use independent judgment effectively. • Ability to execute, both independently and as a collaborate member of various teams and committees. Work Experience, Education, and Certifications: • Bachelor’s degree in business or management related field, MBA preferred. • Demonstrated understanding of group purchasing organizations and supply chain processes, acquired through 7+ years of experience. • Minimum 5+ years of strategic account management experience. • Skilled in coaching and mentoring leaders to build organizational bench strength. • Sales experience- prospecting, pipeline development, conversion not required but helpful. • Value analysis experience not required, but helpful. • Project management experience or knowledge. • Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies • Experience with Excel, Word, Outlook, and PowerPoint • CRM (Salesforce) experience preferred. • Ability to execute responsibilities in a hybrid work environment. Travel Requirements: • Travel up to 60%, including overnight travel, is required for the role. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: • 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 #LI-Remote

Manage strategic client relationships, drive value and growth, and lead executive reviews to demonstrate savings and progress. | Requires 7+ years in healthcare or related industries, 5+ years in strategic account management, and experience with data visualization tools like PowerBI or Tableau. | Job Description: • Serves as the principal executive contact with Ovation’s Spend Management members. • Responsible for working with strategic members to drive value and savings to enhance their performance. • Expanding Ovation Healthcare’s footprint with the member and driving growth. • Keeps the organization’s vision and values at the forefront of decision-making and action. • Ensures each assigned client achieves specific targets for organic growth, contract performance, compliance, conversions, renewal, savings, and strategic objectives. • Monitors key performance metrics and report progress to senior leadership team. • Establishes productive, professional, and consultative relationships with C-Suite, executive personnel throughout member organization. • Moves strategic customers from current state to a trusted strategic partnership. • Leads executive business reviews to reinforce Spend Management value, demonstrate executed savings, and highlight progress on key initiatives. • Proactively leads a joint company-strategic account planning process that develops mutual performance objectives, financial targets, and critical milestones. Requirements: • Bachelor’s degree in business or management related field, MBA preferred. • 7+ years of experience in the healthcare industry, supply chain, group purchasing organizations (GPOs), clinical, and business personnel. • Minimum 5+ years of strategic account management experience. • Skilled in coaching and mentoring leaders to build organizational bench strength. • Sales experience- prospecting, pipeline development, conversion not required but helpful. • Value analysis experience not required, but helpful. • Project management experience or knowledge. • Experience working with data analysis and visualization tools such as Microsoft PowerBI, Tableau, Microstrategies. • Experience with Excel, Word, Outlook, and PowerPoint. • CRM (Salesforce) experience preferred. • Ability to execute responsibilities in a hybrid work environment. Benefits: • 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

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.