Medicare Claims Specialist - Remote

Ovation; Tennessee; Hybrid; USD 50,000 - 74,000; Full time

Benefits offered by this job

Remote work from EST

Health insurance

Paid time off

401(k)

Job summary

Ovation Healthcare, a remote-friendly employer based in EST, seeks a Medicare Specialist to manage billing and collections for Medicare patients. You will submit claims, track denials, and coordinate with Medicare representatives to ensure compliant reimbursements.

The role requires strong Medicare knowledge, experience with DDE/CWF, and the ability to work remotely with minimal supervision while maintaining HIPAA standards and accurate records.

Qualifications

• Experience utilizing Payer portals, DDE and client systems.
• In-depth knowledge of Medicare billing guidelines and regulations.
• Ability to analyze complex billing data and resolve issues.

Responsibilities

• Prepare and submit accurate Medicare claims and appeals.
• Monitor aging reports and follow up on unpaid or denied claims.
• Communicate with patients and Medicare representatives to resolve billing questions.

Skills

Medicare billing

DDE

CWF

Data analysis

HIPAA compliance

Education

High school diploma or equivalent

Tools

Payer portals

EHR systems

Billing software

Job description

Ovation Healthcare, a remote-friendly employer based in EST, seeks a Medicare Specialist to manage billing and collections for Medicare patients. You will submit claims, track denials, and coordinate with Medicare representatives to ensure compliant reimbursements.

The role requires strong Medicare knowledge, experience with DDE/CWF, and the ability to work remotely with minimal supervision while maintaining HIPAA standards and accurate records.