Remote AR Specialist — Healthcare Revenue

Ovation Healthcare; Huron (SD); On-site; USD 45,000 - 65,000; Full time

Job summary

Ovation Healthcare seeks a detail-oriented insurance follow-up specialist to accelerate cash collections for hospital accounts. The role supports independent providers through revenue-cycle optimization and payer communications, with an emphasis on timely resolutions and accurate documentation.

The position offers a work-from-home setup, strong collaboration with subject-matter experts, and opportunities to improve claims processing efficiency while maintaining regulatory compliance.

Qualifications

• High school diploma or equivalent; hospital insurance collections training is a plus.
• 3-5 years of collections experience in a Hospital Business Office.
• Ability to work from home with a stable internet connection and a quiet workspace.
• Knowledge of ICD-10, CPT and DRG is preferred; proficiency with Excel is helpful.

Responsibilities

• Follow up and collect on accounts in assigned inventory using standard tools and processes.
• Escalate unresolved claims to payer claims supervisor as needed.
• Document client host system using the 5 W’s and copy notes into the workflow tool.
• Assign appropriate status codes (root cause, action) to identify trends.
• Prepare first and second level appeals to overturn denials and secure payment.
• Escalate payer denial trends to Management for assistance.
• Handle underpayments as assigned by Management.
• Maintain daily productivity and quality targets for the client/position.
• Research and analyze any correspondence related to assigned accounts.

Skills

Account follow-up

Billing experience

Medical Terminology

Excel proficiency

Education

High school diploma

Hospital insurance collections training

Tools

Excel

Job description

Ovation Healthcare seeks a detail-oriented insurance follow-up specialist to accelerate cash collections for hospital accounts. The role supports independent providers through revenue-cycle optimization and payer communications, with an emphasis on timely resolutions and accurate documentation.

The position offers a work-from-home setup, strong collaboration with subject-matter experts, and opportunities to improve claims processing efficiency while maintaining regulatory compliance.