Follow Up Specialist

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Work on electronic denials, paper denials, and unpaid claims reports to resolve denied or unpaid claims from all insurance carriers • Forward denials to other departments so claims can be handled properly • Correct and resubmit claims in clearinghouse portals and billing systems • Direct rejected and denied claims to other departments for resolution when warranted • Identify denial trends and report them to the lead to help prevent future denials • Open cases and work directly with the clearinghouse when claim rejections are received in error • Review denied claims for correction and resubmission • Use payer websites and online portals to research denied claims • Follow up on unpaid claims with insurance carriers after the specified claim age • Contact insurance companies by telephone, portals, and email to resolve claims denied in error or requiring additional information • Process appeals on denied claims

🎯 Requirements

• 1-2 years' experience in an AR Follow-Up • Experience in Professional CMS 1500 Billing, Multiple Clearinghouses, Billing Systems, and EMRs • Knowledge of multiple states' billing requirements • Knowledge of commercial and government payers • Basic medical billing knowledge • Basic health insurance carrier billing and reimbursement policies • Problem solving and dispute resolution • Ability to multitask and adapt to changing regulations • Strong verbal and written communication skills • Excellent organizational and time-management abilities • Proficiency in Microsoft Office applications including Teams, Outlook, and Excel • Ability to handle multiple tasks and prioritize effectively • High attention to detail and problem-solving skills • Ability to work from a designated home office or other quiet and secure location • 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

🏖️ Benefits

• 100% Remote • Designated home office or other quiet and secure location • Reliable internet access for home workspace