Specialist, Follow Up

Ovation Healthcare • Crest, CA

1d • $40,995 - $61,492 • Remote

About The Position

The Follow Up Specialist works electronic and paper denials and unpaid claims reports to resolve claims denied or unpaid by insurance carriers. The role forwards denials to other departments when needed and uses payer portals, telephone, email, and appeals to resolve claims. The position is 100% remote, with work performed from a designated home office or another quiet, secure location with reliable internet access.

Requirements

• Basic medical billing knowledge.
• Basic knowledge of health insurance carrier billing and reimbursement policies.
• Problem-solving and dispute-resolution skills.
• Ability to multitask and adapt to changing regulations.
• Strong verbal and written communication skills.
• Excellent organizational and time-management abilities.
• Proficiency with Microsoft Office applications, including Teams, Outlook, and Excel.
• Ability to handle multiple tasks and prioritize effectively.
• High attention to detail and problem-solving skills.
• 1–2 years of experience in AR follow-up.
• Experience with professional CMS 1500 billing, multiple clearinghouses, billing systems, and EMRs.
• Knowledge of billing requirements across multiple states and of commercial and government payers.

Responsibilities

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

Benefits

• Medical, dental, vision, and 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 and voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.
• Flexible paid time off and company-paid holidays.
• 401(k) plan with discretionary employer match opportunities.
• Professional development opportunities.
• Company-issued equipment.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed