Billing Specialist

Ovation Healthcare

. Manage daily billing and ensure timely, accurate, clean claims .

Posted 11/6/2026full-timeRemote • Tennessee • United StatesMid-LevelSenior💰 $45,094 - $67,641 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in third-party insurance billing, compliance with CMS and HIPAA regulations, and effective communication with patients and internal teams. Proficient in managing billing processes, resolving discrepancies, and maintaining accurate claim records.

Highest-signal resume keywords

Third Party Insurance BillingBilling Codes KnowledgeEHR Systems FamiliarityProblem-Solving AbilitiesMedical Terminology Knowledge

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingBilling GuidelinesICD-10CPTDRGRemittance Advice ProcessingPayer Portal UtilizationClaims ReconciliationPatient Account ManagementCompliance with Insurance Policies

Soft Skills

Strong Communication SkillsDetail-OrientedOrganizational SkillsAbility to Handle Sensitive InformationTeam Collaboration

Tools & Technologies

Billing SoftwareElectronic Health Record (EHR) SystemsClient SystemsClearing House Requirements

Industry Keywords

Healthcare BillingCMS RegulationsHIPAA CompliancePatient Financial ServicesAccounts Receivable Management

About the role

Key responsibilities & impact

Manage daily billing and ensure timely, accurate, clean claims
Review claims and resolve daily claim edits
Ensure compliance with insurance billing policies and regulations
Maintain payer-specific split billing requirements and update the team crosswalk
Upload payer portal appeals and provide feedback to the internal team
Import claims into the claims processing system when required
Prepare and submit accurate patient-service claims according to third-party payer guidelines
Review patient accounts and reconcile payments with secondary payers
Review remittance advice and ensure payments are posted correctly
Address outstanding balances before filing with secondary payers
Maintain compliance with CMS regulations, HIPAA, and company policies
Maintain accurate claim records and documentation in patient account systems
Meet daily productivity and quality standards
Collaborate with patient financial services, finance, and billing departments to resolve account issues and disputes
Assist management in maintaining or reducing accounts receivable days and improving organizational cash flow

Requirements

What you’ll need

Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting
In-depth knowledge of billing codes, guidelines, and regulations
Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing
Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively
Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations
Detail-oriented with strong organizational skills and ability to manage multiple accounts simultaneously
Problem-solving abilities regarding billing discrepancies and denied claims
Experience utilizing payer portals, client systems, and clearing house requirements
3–5 years of experience as a primary biller in a hospital business office
Knowledge of medical terminology, ICD-10, CPT, DRG, and third-party insurance payer guidelines preferred
High school diploma or equivalent
Stable internet connection, quiet dedicated workspace, and necessary office equipment
Ability to communicate daily with team members, management, and clients through email, phone, video meetings, and collaborative tools

Benefits

Comp & perks

Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage
HSA with employer contributions
Flexible spending accounts for health care and dependent care accounts
Wellness platform with premium incentives
Employee assistance support
Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
Robust and flexible paid time off offerings
Company paid holidays
401(k) plan with discretionary employer match opportunities
Professional development opportunities
Company issued equipment