Jobs at Ovation Healthcare

Resolves electronic and paper denials, rejected claims, and unpaid accounts receivable claims. Corrects and resubmits claims, researches payer portals, contacts insurance carriers, directs cases to appropriate departments, identifies denial trends, and processes appeals. Requires medical billing and reimbursement knowledge, familiarity with CMS 1500 billing, clearinghouses, billing systems, EMRs, and multistate payer requirements. This is a fully remote role with 0% travel.

Resolves denied and unpaid healthcare claims through correction, resubmission, payer research, phone and email follow-up, portal inquiries, and appeals. The Specialist reviews aging accounts receivable, routes claims to appropriate departments, identifies denial trends, and reports issues for prevention. The role requires medical billing and insurance reimbursement knowledge, familiarity with CMS-1500 billing, clearinghouses, billing systems, EMRs, and multi-state payer requirements. This is a fully remote position with 0% travel.

Follows up with insurance payers on outstanding claims, resolves payment barriers, writes denial appeals, researches account correspondence, and accelerates collections. The role documents account activity, assigns workflow statuses, escalates unpaid claims and denial trends, handles underpayments, protects confidential patient information, and meets productivity and quality targets while working remotely.

Follows up with insurance payers on outstanding hospital claims, resolves payment barriers, writes appeals for denials, researches account correspondence, documents claim activity, and accelerates collections. The role also monitors denial trends, escalates unresolved claims, handles underpayments, protects confidential patient information, and meets daily productivity and quality targets while working remotely.

Follows up with insurance payers on outstanding claims, resolves payment barriers, accelerates collections, and writes appeals for denied claims. Documents account activity, assigns workflow status codes, researches correspondence, escalates payer issues, and may handle underpayments. The role requires revenue cycle knowledge, medical coding familiarity, attention to detail, productivity, confidentiality, and independent remote work.

Manages hospital accounts receivable operations, including billing, collections, reimbursement, denial resolution, payer follow-up, and revenue cycle performance. Leads and trains A/R staff, monitors productivity and collection metrics, reviews patient accounts for accuracy, prepares reports, ensures regulatory and payer compliance, and implements process improvements to increase cash flow. The role also handles staffing, performance management, client communications, and healthcare business office operations while traveling extensively to client sites.

Manages daily healthcare billing operations, including preparing clean UB-04 and CMS-1500 claims, resolving claim edits, handling payer appeals, reconciling payments, and addressing outstanding balances. Ensures compliance with payer requirements, CMS regulations, HIPAA, and company policies. Maintains accurate patient account documentation, collaborates with finance and patient financial services, and supports accounts receivable performance and cash flow improvements.

Serve as primary client contact to manage day-to-day client workflows, accounts receivable, collections, reconciliations, incident/ticket resolution, reporting, and HIPAA-compliant communication. Maintain documentation, contingency plans, and timely client deliverables while providing exceptional internal and external customer service.

Follows up with insurance payers on outstanding hospital claims, resolves payment obstacles, writes appeals for denials, researches account correspondence, documents claim activity, assigns workflow status codes, and supports underpayment recovery. The role requires meeting productivity and quality goals while safeguarding confidential patient account information and working independently in a fully remote environment.

Investigates and resolves technical claim denials and contractual underpayments for hospital clients. Reviews accounts, EOBs, payer contracts, and fee schedules; corrects errors, resubmits claims, prepares appeals, and collaborates with clinical appeals and coding specialists. Documents findings in the Pulse platform, identifies denial trends and root causes, supports reporting, and helps prevent future revenue leakage.

Provide strategic and operational financial leadership across multiple client hospitals in a shared-services model. Partner with hospital CEOs, CFOs, and operational leaders to drive budgeting, forecasting, revenue cycle performance, financial analytics, and margin improvement. Lead client financial reviews, mentor finance staff, support month- and year-end close, capital planning, and ensure compliance with healthcare regulations.

Resolves electronic, paper, and unpaid insurance claims through correction, resubmission, payer research, phone and email follow-up, and appeals. Reviews claims aged over 60 days, routes issues to appropriate departments, identifies denial trends, and communicates with clearinghouses and insurance carriers. The role requires medical billing knowledge, familiarity with CMS-1500 billing, clearinghouses, billing systems, EMRs, payer requirements, and strong organizational and communication skills. This is a fully remote position with no travel.

Manage daily healthcare billing, claim preparation, claim edits, payer submissions, payment reconciliation, remittance advice, appeals, and denial resolution. Ensure compliance with CMS, HIPAA, payer guidelines, and company policies while maintaining accurate patient account records. Collaborate with patient financial services, finance, billing, management, and clients to resolve account issues, improve collections, reduce accounts receivable days, and meet productivity and quality standards.

Supervises daily coding operations, assigns workloads, monitors productivity and accuracy, supports audits and staff training, and ensures coding compliance and turnaround standards. Performs direct coding across professional fees, outpatient, surgical, observation, and inpatient services. Interprets regulatory updates, answers coding questions, mentors staff, coordinates education, and collaborates with the Coding Manager on staffing, process improvements, and client requirements.

The Client Success Manager oversees onboarding of hospitals to a GPO, coordinating teams and ensuring contract alignment and operational value.