A/R Management Specialist - Digitech - Remote

Tri-anim Health Services, Inc.; Northern (KY); Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

401(k) Plan

Competitive salary

Job summary

Digitech Computer seeks an A/R Management Specialist II to support revenue cycle activities for outstanding insurance accounts receivable, denials, and appeals. You will perform analysis on complex claims, coordinate follow-up with patients, providers, and insurers, and ensure timely payments while maintaining HIPAA compliance.

The role requires experience in healthcare billing, strong investigation skills, and the ability to work independently in a fast-paced remote environment.

Qualifications

• Minimum of 2 years’ experience in healthcare claims processing, billing, or accounts receivable.
• Experience preparing and submitting insurance appeals with understanding of denial codes.
• Familiarity with ICD-10, HCPCS and medical terminology.
• EMS billing experience preferred; other specialties considered.
• Proficient with billing software, payer portals and MS Office.

Responsibilities

• Research claims and obtain additional insurance information by phone.
• Follow up on past-due accounts with insurance carriers and patients.
• Document activity in the claims processing system and maintain aging accounts.
• Meet defined productivity and quality standards.
• Ensure compliance with HIPAA and other laws; escalate complex issues as needed.
• Prepare and resolve complex accounts and escalations; perform quality checks.

Skills

Healthcare claims processing

Remote work capability

Research and investigation

Analytical abilities

Time-management

Team collaboration

Communication Skills

Customer service

Education

High School Diploma or equivalent

Associates Degree preferred

Tools

Billing software

Payer portals

Microsoft Office

Job description

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners.

Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.

Summary:

The A/R Management Specialist II position will provide support for all revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes insurance and patient billing follow-up to ensure prompt and accurate payment to the client or provider for all monies owed. The responsibilities of the A/R Management Specialist II will include a higher level of analysis and resolving more complex claim rejections and denials.

Essential Duties and Responsibilities:

• Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
• Make telephone calls to patients, hospitals, insurance companies, facilities, and attorneys as needed to research claims or obtain additional insurance information
• Contact insurance carriers to inquire about the status of past-due accounts
• Meet or exceed defined productivity and quality standards
• Document details of activity on each account in the claims processing system
• Follow up on accounts, including contacting patients by telephone to inquire about insurance coverage
• Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
• Follow up on accounts that have reached collections to ensure they have been fully worked before referral to an external collection agency
• Follow up on any assigned special projects designated by the Manager
• Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA
• Problem-solve and provide complete resolution for complex accounts and escalations
• Perform quality checks on assigned claims
• Ensures consistent adherence to company attendance policies
• Additional job duties as assigned

Skills/Experience Required:

• Education: High School Diploma or equivalent required;Associates Degree preferred
• Minimum of 2 years’ experience in healthcare claims processing, billing, or accounts receivable
• Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and payer timely filing limits
• Familiarity with ICD-10, HCPCS, and general medical terminology
• EMS billing experience strongly preferred; experience in other medical specialties will be considered
• Proficiency with various web platforms, including billing software and payer portals
• Prior customer service experience with the ability to work collaboratively with other departments and team members
• Basic computer knowledge and experience using Microsoft Office
• Strong interpersonal, organizational, communication, and time-management skills
• Strong investigative and research skills, with the ability to resolve complex billing issues
• Effective critical thinking and analytical abilities
• Ability to work independently in a fast-paced, adaptive environment with minimal supervision.
• Strong customer service skills and experience
• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.

Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

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