Client Operations Insurance Specialist

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 Client Operations Insurance Specialist is responsible for collections, billing, and follow up for insurance claims on patient accounts.

Duties and Responsibilities:

• Manage all open agent tickets relating to insurance inquires through completion

• Post any missing payments to accounts through RP function for client reconciliation process (insurance project clients).

• 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.

• Take initiative and action to respond, resolve and follow up regarding customer service issues and client requests in a timely manner.

• 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.

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

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

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

• Ensure all accounts referred back to client are followed through until completion prior to designed payer requirement dates for prompt payment.

• Meet deadlines with frequent interruptions and redefined priorities.

• Act as the backup for the designated Client Operations Insurance Support Representative.

Work Experience, Education, and Certifications:

• High school diploma required

• 1+ years of previous insurance billing experience required

• Hospital or Physician Business Office work experience required

• Billing/Coding certificate preferred