A/R Management Specialist - Digitech - Remote

Tri-anim Health Services, Inc.; United States; Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k) Plan

Comprehensive benefits

Remote work options

Job summary

Tri-anim Health Services, Inc. is seeking an AR Management Specialist to support all aspects of insurance and patient billing, ensuring prompt payments for clients and providers.

You will research claims by contacting patients, hospitals, and insurers; follow up on past-due accounts; document activity in the billing system; and maintain accuracy while complying with HIPAA. Candidates should have a high school diploma and at least one year in healthcare billing, with familiarity of ICD-10/HCPCS

Qualifications

• Education: High School Diploma or equivalent required
• Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
• Experience preparing and submitting insurance appeals with remittance advices and denial codes
• Familiarity with ICD-10, HCPCS, and medical terminology
• EMS billing experience strongly preferred
• Proficiency with web platforms, billing software, and payer portals
• Customer service experience and collaboration with other departments
• Basic computer knowledge and MS Office
• Strong customer service and interpersonal skills
• Excellent organizational and time-management abilities
• Strong investigative, analytical, and problem-solving skills
• Ability to work independently in a fast-paced, remote environment

Responsibilities

• Make calls to patients, hospitals, insurers, and attorneys to research claims
• Contact insurance carriers to check past-due status
• Meet or exceed defined productivity and quality standards
• Document activity in the claims processing system
• Follow up on self-pay accounts and arrange payment plans
• Maintain aging accounts with daily follow-up
• Follow up on accounts referred to external collections when appropriate
• Perform quality checks on assigned claims
• Maintain confidentiality and comply with HIPAA and company policies
• Handle additional duties as assigned

Skills

Healthcare claims processing

Payer research

Customer service

HIPAA compliance

Microsoft Office

Remote collaboration

Investigative skills

Education

High School Diploma

Tools

Billing software

Payer portals

Microsoft Office

EMR systems

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 AR Management Specialist will provide support across all aspects of insurance and patient billing to ensure prompt and accurate payment to the client or provider for all monies owed by both patients and insurers.

Essential Duties and Responsibilities:

• 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 self‑pay accounts, including contacting patients by telephone to inquire about insurance coverage or establish payment plans
• Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims daily
• 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
• Perform quality checks on assigned claims
• Maintain confidentiality regarding all assignments
• Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
• Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA
• Ensures consistent adherence to company attendance policies
• Additional job duties as assigned

Skills/Experience Required:

• Education: High School Diploma or equivalent required
• Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
• Hands‑on experience preparing and submitting insurance appeals, including understanding remittance advices, 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 customer service skills and experience
• 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 supervisor
• 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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