Description

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 Lead is responsible for supporting all revenue cycle functions related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes following up on insurance and patient billing to ensure prompt and accurate payment to the client or provider for all monies owed. The A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues.

Essential Duties and Responsibilities:

• Perform job responsibilities and tasks according to company standards as well as state and federal guidelines
• Problem-solve and provide complete resolutions for complex accounts and escalations
• Make telephone calls to patients, hospitals, insurance companies, facilities, or 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 account activity details in the claims processing system
• Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
• Identify process improvement opportunities and develop standard operating procedures (SOPs)
• Complete assigned special projects from the Manager, providing regular updates and reports
• Perform quality checks on assigned claims
• Conduct monthly reviews and process write-offs for assigned accounts
• Ensure the highest level of compliance with all applicable laws and regulations, including HIPAA
• Investigate and resolve escalations from team members, payers, and other stakeholders, as assigned by the Manager
• 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 35 years of experience in healthcare claims processing, billing, or accounts receivable
• Obtain ambulance biller certification within 6 months of employment
• 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, such as billing software and payer portals
• Prior customer service experience with the ability to work collaboratively with other departments or team members
• Excellent computer skills, including Microsoft Word, Excel, and Outlook
• Strong verbal and written communication skills
• Excellent interpersonal, organizational, and time management skills
• Strong problem-solving skills and investigative abilities
• Ability to work in a fast-paced, adaptive environment with minimal supervision
• Knowledge of collections or medical billing, with a basic understanding of ICD-10, HCPCS, and medical terminology preferred
• Effective critical thinking and analytical abilities
• 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

Physical Requirements:

• Ability to talk, hear, and see clearly to read and interpret information
• Regular use of a computer, phone, and standard office equipment
• May be required to travel for business purposes
• Ability to secure confidential information
• Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

PI284726810