Jobs at Ovation Healthcare

Resolves electronic and paper denials, rejected claims, and unpaid accounts receivable claims. Corrects and resubmits claims, researches payer portals, contacts insurance carriers, directs cases to appropriate departments, identifies denial trends, and processes appeals. Requires medical billing and reimbursement knowledge, familiarity with CMS 1500 billing, clearinghouses, billing systems, EMRs, and multistate payer requirements. This is a fully remote role with 0% travel.

Investigates and resolves technical claim denials and contractual underpayments for hospital clients. Reviews accounts, EOBs, payer contracts, and fee schedules; corrects errors, resubmits claims, prepares appeals, and collaborates with clinical appeals and coding specialists. Documents findings in the Pulse platform, identifies denial trends and root causes, supports reporting, and helps prevent future revenue leakage.