Remote A/R Specialist II: Denials & Appeals Expert

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 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.