Teams 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.