Remote AR Follow-Up Specialist — Denials & Claims

QHR Health, LLC dba Ovation Healthcare; United States; Remote; USD 42,000 - 64,000; Full time

Job summary

Ovation Healthcare is seeking a Follow Up Specialist to manage electronic denials, paper denials and unpaid claims, resolving denied or unpaid claims with carriers. The role involves forwarding denials to other departments, using portals, calls, and emails, and appealing when needed.

Remote 100%, home office, ability to multitask and adapt to changing regulations; requires 1-2 years AR Follow-Up, CMS 1500 Billing knowledge, and strong communication skills.

Qualifications

• 1-2 years of AR Follow-Up experience.
• Experience with CMS 1500 Billing and multiple clearinghouses.
• Knowledge of payer policies and claim denial processes.
• Strong problem-solving and communication skills.

Responsibilities

• Review denied claims for correction or resubmission.
• Follow up on unpaid claims with carriers via calls, portals, and email.
• Identify denial trends and report to team lead.
• Process appeals on denied claims.

Skills

Medical Billing

Denials Management

Aging AR Tracking

Payer Communications

Microsoft Office

Communication Skills

Tools

CMS 1500 Billing

Clearinghouses

EMR Systems

Billing Software

Job description

Ovation Healthcare is seeking a Follow Up Specialist to manage electronic denials, paper denials and unpaid claims, resolving denied or unpaid claims with carriers. The role involves forwarding denials to other departments, using portals, calls, and emails, and appealing when needed.

Remote 100%, home office, ability to multitask and adapt to changing regulations; requires 1-2 years AR Follow-Up, CMS 1500 Billing knowledge, and strong communication skills.