Remote Healthcare AR Specialist: Denials & Cash Collections

QHR Health, LLC dba Ovation Healthcare; Huron (SD); On-site; USD 42,000 - 65,000; Full time

Job summary

Ovation Healthcare is seeking a remote Accounts Receivable Specialist to follow up on insurance claims and accelerate cash collections. The role involves resolving unpaid or underpaid claims, documenting interactions, and escalating issues as needed.

Candidates should have 3–5 years of hospital collections experience, strong detail orientation, and the ability to work from home. Knowledge of medical terminology, ICD-10, CPT, and DRG is preferred, with Excel proficiency a plus.

Qualifications

• Direct account follow-up and billing experience.
• Medical terminology, ICD-10, CPT and DRG knowledge preferred.
• Excel knowledge preferred for data entry and tracking.

Responsibilities

• Follow up on accounts in assigned inventory and collect on payments.
• Use established strategies/tools to resolve claims and secure payment.
• Escalate denials and payor trends to management for assistance.
• Document client interactions and copy notes into workflow system.
• Maintain daily productivity and quality targets; analyze related correspondence.

Skills

Direct account follow-up

Medical terminology

ICD-10

CPT

DRG knowledge

Excel

Education

High school diploma

Hospital insurance collections training

Tools

Workflow tools

Job description

Ovation Healthcare is seeking a remote Accounts Receivable Specialist to follow up on insurance claims and accelerate cash collections. The role involves resolving unpaid or underpaid claims, documenting interactions, and escalating issues as needed.

Candidates should have 3–5 years of hospital collections experience, strong detail orientation, and the ability to work from home. Knowledge of medical terminology, ICD-10, CPT, and DRG is preferred, with Excel proficiency a plus.