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 and ruralMED 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 and ruralMED, 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 Revenue Cycle Training Specialist reflects the mission, vision, and values of ruralMED, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, and regulatory standards.
This role is primarily responsible for delivering external training to client facilities, with a focus on educating billing staff from foundational concepts through advanced revenue cycle processes. The Specialist will serve as a subject matter expert in billing, claims management, and payer requirements, while also supporting internal training initiatives and assisting with complex claims escalation.
This role is client-facing and training-intensive, requiring a high level of expertise, professionalism, and adaptability.
Duties and Responsibilities:
- Lead external training programs for client facility billing teams, including new implementations and ongoing education.
- Teach billing fundamentals from the ground up, including patient accounts, claim creation, charge capture, and reimbursement workflows.
- Deliver advanced training on claims follow-up, denial management, and claims escalation strategies.
- Provide hands-on instructions in Direct Data Entry (DDE) and other billing systems as applicable.
- Educate clients on Medicare, Medicaid, and commercial payer policies, including regulatory updates and compliance requirements.
- Serve as a subject matter expert and resource for client billing questions, issues, and workflow optimization.
- Partner with client leadership to identify knowledge gaps and develop targeted training plans.
- Assist with internal staff training, onboarding, and ongoing education initiatives.
- Support internal claims escalation efforts, including research, resolution strategies, and payer communication.
- Develop and maintain training materials, job aids, and curriculum tailored to client and internal needs.
- Collaborate with RCM leadership and quality teams to address trends identified through audits and performance metrics.
- Build strong relationships with clients to ensure training effectiveness and long-term success.
- Utilize various training methods (virtual sessions, live demonstrations, job shadowing, etc.) to enhance learning outcomes.
- Track and report on training effectiveness, competency, and client progress.
Knowledge, Skills and Abilities:
- Strong expertise in healthcare billing, including hospital and/or rural health clinic (RHC) or critical access hospital (CAH) environments.
- In-depth knowledge of: Medicare and Medicaid billing rules and regulations, Commercial payer policies, Claims lifecycle and denial management, and Direct Data Entry (DDE) systems
- Proven ability to teach both beginner-level and advanced billing concepts.
- Experience with claims, escalation, appeals, and payer communication.
- Strong presentation, facilitation, and communication skills (verbal and written).
- Ability to translate complex billing processes into clear, understandable training.
- Proficiency in Microsoft Office (Word, Excel, PowerPoint, Teams).
- Experience with EHR systems such as Meditech, CPSI, EPIC, and Cerner, and clearinghouses, such as SSI, Trubridge, and Inovalon
- Knowledge of individual payer portals
- Excellent critical thinking, problem-solving, and organizational skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Strong interpersonal skills with the ability to build trust with both clients and internal teams.
Work Experience, Education and Certifications:
- Minimum (5) five years of hands-on Critical Access Hospital and Rural Health Clinic billing experience required.
- Prior experience in training, education, or mentoring is strongly preferred.
- High School Diploma or GED required; college degree preferred.
Working Conditions and Physical Requirements:
Travel Requirements: