Specialist, Integrated Billing

QHR Health, LLC dba Ovation Healthcare; Pawtucket (RI); Hybrid; USD 45,000 - 68,000; Full time

Benefits offered by this job

Health and wellness benefits

Paid time off

401(k) plan with employer match

Job summary

Ovation Healthcare is seeking an Integrated Billing Specialist to manage daily billing operations, ensure timely and accurate claims, and support compliance with insurance policies. The role involves verifying data, managing accounts receivable, resolving discrepancies, and collaborating with other departments to ensure precise billing.

Qualifications include a HS Diploma or GED and 3+ years in billing or related fields.

Qualifications

• HS Diploma or GED required; 3+ years of billing, accounting or related field preferred.

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.

Skills

Analytical skills

Communication

Technical skills

Problem solving

Attention to detail

Organization

Education

HS Diploma or GED

Tools

Billing systems

Microsoft Office

Job description

About the Job

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 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 Remote, Hybrid, or Onsite

Role Benefits

The base compensation range for this position is: $45,094.28 - $67,641.42 Compensation ranges could be hourly or salary depending upon the exempt status of the posted position. Beginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience. Typically, a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role. Compensation may increase over time based on performance, experience, and tenure. Compensation is only part of Ovation's total compensation package.

• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts Wellness platform with premium incentives Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance Robust and flexible paid time off offerings and company paid holidays 401(k) plan with discretionary employer match opportunities Professional development opportunities Company issued equipment

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.