This is a Medicare-heavy revenue cycle role for someone who knows how to chase claims the right way, not the loud way. You’ll submit clean Medicare claims, work denials and underpayments, manage aging, and handle appeals while staying tight on compliance.
About Ovation Healthcare
Ovation Healthcare partners with independent hospitals and health systems to strengthen community healthcare through tech-enabled shared services and operational expertise. They support rural and community providers with Revenue Cycle Management, advisory services, spend management, and technology services.
Schedule
Full-time, 100% remote. No travel listed. HIPAA-level confidentiality and secure work habits required.
What You’ll Do
⦁ Prepare and submit accurate Medicare claims in compliance with Medicare rules
⦁ Use tools like DDE and CWF to track, follow up, and resolve unpaid or denied Medicare claims
⦁ Reconcile patient accounts using Medicare remittance advice and ensure accurate posting and balance resolution
⦁ Communicate with patients about Medicare coverage, billing questions, payment options, and unpaid balances
⦁ Investigate denied or underpaid claims, working with Medicare reps and internal teams to correct issues
⦁ Prepare and submit appeals (including redetermination appeals) with supporting documentation
⦁ Monitor and work aging reports to prioritize follow-up on overdue Medicare accounts
⦁ Maintain compliance with Medicare regulations, HIPAA, and company policies; flag risks and recommend corrective action
⦁ Resolve Medicare credit balances and support credit balance reporting when needed (including requesting offsets in DDE)
⦁ Partner with coding/finance teams to resolve claim edit issues (diagnosis codes, CPT, etc.)
What You Need
⦁ Strong Medicare billing and collections knowledge (claims, remits, denials, appeals)
⦁ Experience with DDE, CWF, and similar Medicare follow-up tools
⦁ Ability to analyze claim data, spot errors, and troubleshoot complex billing issues
⦁ High accuracy and attention to detail with medical records and billing data
⦁ Strong communication skills for both patients and Medicare representatives
⦁ Comfort managing multiple accounts and staying organized under pressure
⦁ HIPAA-level confidentiality and professionalism
Benefits
⦁ Full-time remote role with deep Medicare specialization
⦁ Work that directly impacts reimbursement accuracy and speed
⦁ Mission-driven organization supporting independent hospitals nationwide
Straight talk: if you’ve never touched DDE/CWF or Medicare appeals, this role will eat your lunch. If you have, this is a clean “specialist” lane.
Happy Hunting,
~Two Chicks…