Follow Up Specialist

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $41k - $61.5k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 2%

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 across insurance carriers • 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 clearinghouses when claim rejections are received in error • Review denied claims for correction and resubmission • Research denied claims using payer websites and online portals • Follow up on unpaid claims with insurance carriers after the specified claim age • Contact insurance companies by telephone, portals, and email to resolve payment issues • Research claims using multiple online websites and portals • 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, Commercial and Government Payers • Basic Medical Billing Knowledge • Basic Health Insurance Carrier billing & reimbursement policies • Problem solving & 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 apps such as Teams, Outlook, and Excel • Ability to handle multiple tasks and prioritize effectively • High attention to detail and problem-solving skills • Expected to work from a designated home office or other quiet and secure location, free from distractions • Reliable internet access and a suitable workspace • Ability to sit for long periods while working at a desk or computer • Regular use of a keyboard, mouse, and other computer peripherals

🏖️ Benefits

• 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 • Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance • Robust and flexible paid time off offerings • Company paid holidays • 401(k) plan with discretionary employer match opportunities • Professional development opportunities • Company issued equipment