Follow Up Specialist

Ovation Healthcare

. Review denied claims for correction/resubmission .

Posted 11/6/2026full-timeRemote • United StatesJunior💰 $40,995 - $61,492 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims review, denial management, and appeals processing, with a strong understanding of billing systems and insurance carrier policies. Proficient in utilizing online portals and tools for research and communication with insurance companies.

Highest-signal resume keywords

AR Follow-Up ExperienceProfessional CMS 1500 BillingKnowledge of Multiple States Billing RequirementsStrong Verbal and Written Communication SkillsProficiency in Microsoft Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewDenial ManagementAppeals ProcessingMedical Billing KnowledgeBilling SystemsInsurance Carrier PoliciesProblem SolvingDispute ResolutionAttention to DetailTime Management

Soft Skills

Strong Communication SkillsOrganizational AbilitiesMultitaskingAdaptability

Tools & Technologies

Microsoft TeamsMicrosoft OutlookMicrosoft ExcelOnline Portals

Industry Keywords

Commercial PayersGovernment PayersClearinghousesEMR

About the role

Key responsibilities & impact

Review denied claims for correction/resubmission
Direct denied claims to other departments when warranted
Use payer websites and online portals to research denied claims
Identify denial trends and report them to the lead to help prevent future denials
Follow up on unpaid claims with insurance carriers after a specified claim age
Contact insurance companies by telephone, portals, and email to inquire about claims denied in error or requiring additional information
Research claims using multiple online websites and portals
Identify denial trends and other insurance-carrier issues and report them to the lead
Process appeals on denied claims

Requirements

What you’ll need

1-2 years' experience in an AR Follow-Up
Experience in Professional CMS 1500 Billing, Multiple Clearinghouses, Billing Systems, EMR’s
Knowledge of Multiple States Billing Requirements, Commercial and Government Payers
Basic Medical Billing Knowledge
Basic Health Insurance Carrier billing & reimbursement policies
Problem solving & dispute resolution
Ability to multitask and adapt to changing regulations
Strong verbal and written communication skills
Excellent organizational and time-management abilities
Proficiency in using Microsoft Office apps such as Teams, Outlook, and Excel
Ability to handle multiple tasks and prioritize effectively
High attention to detail and problem-solving skills
Expected to work from a designated home office or other quiet and secure location, free from distractions
Access to a suitable workspace with reliable internet access

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