A/R Management Specialist II - Digitech - Remote

Sarnova HC, LLC; Dublin (OH); Remote; USD 25,000 - 30,000; Full time

Job summary

Sarnova HC, LLC is seeking an A/R Management Specialist II for Digitech with a remote, 100% telework setup. The role focuses on insurance accounts receivable, denials, and appeals, requiring strong analytical skills and billing experience.

The position emphasizes compliance with HIPAA and collaboration across departments. The candidate should have a healthcare billing background, proficiency with billing software, and a customer-service mindset for remote teamwork.

Qualifications

• High School Diploma or equivalent required; Associate's Degree preferred.
• Minimum of 2 years’ experience in healthcare claims processing, billing, or accounts receivable.
• Experience preparing and submitting insurance appeals and understanding payer denial codes.
• Familiarity with ICD-10, HCPCS, and general medical terminology.
• EMS billing experience preferred; other medical specialties considered.
• Proficiency with web platforms, billing software, and payer portals.
• Customer service experience and ability to collaborate with other departments.

Responsibilities

• Perform revenue cycle tasks per company standards and laws.
• Research claims by contacting patients, hospitals, insurers, and attorneys.
• Inquire about past-due accounts with insurers.
• Meet or exceed productivity and quality standards.
• Document activity on each account in the claims system.
• Follow up on accounts and insurance coverage.
• Maintain aging accounts by regular follow-up on unpaid claims.
• Escalate and resolve complex billing issues as needed.
• Ensure HIPAA compliance and perform quality checks on claims.

Skills

Healthcare claims processing

Customer service

Analytical reasoning

Communication

Remote work ability

MS Office

Education

High School Diploma or equivalent

Associate's Degree preferred

Tools

Billing software

Payer portals

Microsoft Office

Job description

Sarnova HC, LLC

Position Title: A/R Management Specialist II - Digitech - Remote

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.

#digitech

Job Details

Job Family Digitech

Pay Type Hourly

Telecommute Percentage 100

Equal employment opportunity, including veterans and individuals with disabilities.