Follow Up Specialist

Ovation Healthcare

. Work on electronic denials, paper denials, and unpaid claims reports to resolve denied or unpaid claims across insurance carriers .

Posted 10/12/2026full-timeRemote • United StatesJunior💰 $40,995 - $61,492 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in resolving denied and unpaid claims through effective research and communication with insurance carriers. Proficient in medical billing processes, including CMS 1500 Billing and knowledge of state-specific billing requirements.

Highest-signal resume keywords

AR Follow-Up ExperienceCMS 1500 BillingMultiple ClearinghousesMedical Billing KnowledgeProblem Solving

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 ResolutionClaims ResearchDenial Trend IdentificationClaims Appeals ProcessingBilling Systems Proficiency

Soft Skills

Strong Verbal CommunicationStrong Written CommunicationOrganizational SkillsTime ManagementAttention to Detail

Tools & Technologies

Microsoft OfficeClearinghouse PortalsBilling SystemsEMRsPayer Websites

Industry Keywords

Insurance CarriersCommercial PayersGovernment PayersBilling RequirementsReimbursement Policies

About the role

Key responsibilities & impact

Work on electronic denials, paper denials, and unpaid claims reports to resolve denied or unpaid claims across insurance carriers
Correct and resubmit claims in clearinghouse portals and billing systems
Direct rejected and denied claims to other departments for resolution when warranted
Identify denial trends and report them to the lead to help prevent future denials
Open cases and work directly with clearinghouses when claim rejections are received in error
Review denied claims for correction and resubmission
Research denied claims using payer websites and online portals
Follow up on unpaid claims with insurance carriers after the specified claim age
Contact insurance companies by telephone, portals, and email to resolve payment issues
Research claims using multiple online websites and portals
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, and EMRs
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 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
Reliable internet access and a suitable workspace
Ability to sit for long periods while working at a desk or computer
Regular use of a keyboard, mouse, and other computer peripherals

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