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 corporateheadquartersis located in Brentwood, TN. For more information, visitwww.ovationhc.com.
SUMMARY:
As a Follow Team Lead, this position assists the Follow Up Managers to oversee the operations of the Follow Up team. The position will entail identifying opportunities to improve efficiency and overall process
improvement for the assigned responsibilities. The position will oversee the day-to-day operations of the team to keep the staff on task. The position requires building successful working relationships with the Follow Up staff on and offshore and directly reports to the Follow Up Managers.
DUTIES AND RESPONSIBILITIES:
Team Management
• Monitor timecards and time off calendar.
• Coordinate and assist in training new and existing employees.
• Overseeing team members and answering their questions.
• Distribute daily workflows to all team members.
• Audit employees work and provide feedback, support, and training when necessary.
• Host frequent team meetings.
- Monitor employee’s productivity via ActivTrak.
Workflow Management
• Closely monitors ageing claims in Office Managers.
• Closely monitors & ensures denials & insurance calls production are within expected goal
• Assists in identifying and resolving trending AR issues.
• Manage and review the workflow folders daily.
• Work Manager Review items as marked by other departments and team members.
• Review and distribute our Client Request List to the Client Service team.
• Review unfavorable appeals.
Report Directly to the Follow Up Managers
- Work closely with the Follow Up Managers to carry out process improvements
• Alert Follow Up Managers to issues in need of high-level attention for further resolution.
• Follow up on unpaid claims with insurance carriers after specified claim age.
• Contact insurance companies via telephone, portals, and email requests to inquire on claims denied in error or on claims where there is further information needed in order to resolve for payment.
• Utilize multiple online websites and portals to research claims.
• Identify denial trends and other issues with insurance carriers and report to lead for review to assist in preventing future denials.
• Process appeals on denied claims.
KNOWLEDGE, SKILLS, AND ABILITIES:
• Analytical & Critical Thinking Skills.
• Billing & Compliance Knowledge
- Leadership Skills
• Strong attention to detail and commitment to accuracy.
• Ability to work both independently and as part of a team.
• Strong communication skills (both written and verbal).
• Excellent organizational skills with the ability to manage multiple tasks and prioritize effectively.
• Ability to handle sensitive patient information with discretion and confidentiality.
WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS:
• High school diploma or equivalent required.
• Associate’s or Bachelor’s degree in healthcare administration, medical assisting, or a related field
preferred.
• 1-2 years' experience of AR Follow-Up
- Experience in Professional CMS 1500 Billing, Multiple Clearinghouses, Billing Systems, EMR’s
• Knowledge of Multiple States Billing Requirements, Commercial and Government Payers
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
• 100% Remote
- Expected to work from a designated home office or other quiet and secure location, free from
distractions.
• Access to a suitable workspace that includes reliable internet access.
Ability to sit for long periods while working at a desk or computer.
• Regular use of a keyboard, mouse, and other computer peripherals.
• Occasional video conferencing, which may involve sitting or standing for meetings.
TRAVEL REQUIREMENTS:
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