Remote Revenue Cycle Specialist (CAH & Rural Billing)

Ovation Healthcare; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Remote work

Job summary

Ovation Healthcare is seeking a Revenue Cycle Specialist II to drive CAH, RHC, and hospital/facility billing excellence. You will optimize billing workflows, ensure accurate claims, and guide team members through complex reimbursement scenarios.

The role emphasizes CAH reimbursement methodologies, payer guidelines, and compliance with federal, state, and local laws. This remote position supports nationwide hospital and rural billing operations.

Qualifications

• Must have strong medical billing experience, with emphasis on hospital and facility-based claims.
• Experience with UB-04 billing and payer reimbursement methodologies is required.
• Knowledge of CAH, rural health clinic, and rural hospital billing guidelines is essential.

Responsibilities

• Evaluate and optimize CAH/RHC hospital billing workflows.
• Process electronic and paper claims accurately and timely per CAH rules.
• Resolve claim errors and payer rejections for hospital and rural facility billing.
• Follow up on underpaid or unpaid claims, focusing on complex hospital billing structures.
• Research issues affecting reimbursement and ensure proper documentation in the EHR.

Skills

Medical billing

Hospital billing

CAH billing

Payer negotiation

EHR proficiency

MS Office

Education

High School Diploma

Associate’s or Bachelor’s preferred

Tools

EHR systems

Clearinghouse

Payer portals

Job description

Ovation Healthcare is seeking a Revenue Cycle Specialist II to drive CAH, RHC, and hospital/facility billing excellence. You will optimize billing workflows, ensure accurate claims, and guide team members through complex reimbursement scenarios.

The role emphasizes CAH reimbursement methodologies, payer guidelines, and compliance with federal, state, and local laws. This remote position supports nationwide hospital and rural billing operations.