Billing Specialist

Ovation Healthcare

Billing Specialist managing daily billing and claims for Ovation Healthcare. Collaborate with internal departments and ensure compliance with regulations and policies.

Posted 7/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in third-party insurance billing and collections, ensuring compliance with CMS regulations and HIPAA. Proficient in managing patient accounts, resolving billing discrepancies, and maintaining accurate documentation.

Highest-signal resume keywords

Third Party Insurance BillingBilling Codes KnowledgeElectronic Health Record (EHR) SystemsMedical TerminologyProblem-Solving Abilities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementBilling ComplianceICD-10 KnowledgeCPT KnowledgeDRG KnowledgeRemittance Advice ProcessingPayer Portal UtilizationCollections ManagementAccount ReconciliationBilling Software Proficiency

Soft Skills

Strong Communication SkillsDetail-OrientedOrganizational Skills

Certifications & Qualifications

High School Diploma or EquivalentAdditional Training in Medical Billing

Industry Keywords

CMS RegulationsHIPAA CompliancePatient AccountsInsurance Billing PoliciesClearing House Requirements

About the role

Key responsibilities & impact

Manage the daily billing and ensure timely accurate clean claims
Claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations
Maintain a list of split billing requirements by payer
Review claims that are pended for edits and resolve
Prepare and submit accurate claims for patient services
Review patient accounts and reconcile payments with secondary payers
Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies
Maintain accurate records of all claims and ensure proper documentation in the patient account system
Meet daily productivity and quality standards as assigned
Work with internal departments to address issues or disputes affecting patient accounts
Assist management in maintaining or reducing account receivable (AR) days

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 the ability to manage multiple accounts simultaneously.
Problem-solving abilities, particularly regarding billing discrepancies and denied claims.
Experience utilizing Payer portals, client systems and clearing house requirements
Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer guidelines
High school diploma or equivalent; additional training in medical billing is a plus.

Benefits

Comp & perks

Work from home and remote location
Stable internet connection
Quiet and dedicated workspace free of distractions