Remote Healthcare Billing Specialist | AR & Claims Expert

QHR Health; United States; Remote; USD 45,000 - 68,000; Full time

Benefits offered by this job

Remote work

Job summary

Ovation Healthcare seeks a Specialist, Billing to manage daily billing and ensure timely, accurate clean claims and claim reviews. This role requires deep knowledge of UB/1500 guidelines and payer requirements, with a focus on compliant billing practices.

The ideal candidate has 3–5 years of hospital billing experience, familiarity with EHR systems and payer portals, and strong communication skills to resolve patient concerns and collaborate with internal teams.

Qualifications

• 3–5 years of experience as a primary biller in hospital business office.
• Knowledge of ICD-10, CPT, DRG, and payer guidelines is preferred.
• Experience with payer portals and remittance advice processing.

Responsibilities

• Manage daily billing operations and ensure timely, accurate clean claims.
• Review and resolve edits and pended claims in payer systems.
• Prepare and submit claims following third‑party payer guidelines.
• Reconcile payments with secondary payers and review remittance advice.
• Ensure CMS, HIPAA, and company policies are followed; document patient accounts.
• Collaborate with patient financial services, finance, and billing teams to resolve issues.

Skills

Third‑party billing

HIPAA compliance

Attention to detail

Communication skills

Education

High school diploma

Tools

Billing software

EHR systems

Job description

Ovation Healthcare seeks a Specialist, Billing to manage daily billing and ensure timely, accurate clean claims and claim reviews. This role requires deep knowledge of UB/1500 guidelines and payer requirements, with a focus on compliant billing practices.

The ideal candidate has 3–5 years of hospital billing experience, familiarity with EHR systems and payer portals, and strong communication skills to resolve patient concerns and collaborate with internal teams.