Sarnova, through Digitech, provides advanced billing and technology services for the EMS transport industry. The company’s cloud-based revenue cycle platform supports fully outsourced billing operations that maximize collections, protect compliance, and improve reimbursement outcomes.
This role is responsible for the detailed review and coding of EMS transport claims to ensure accuracy, compliance, and appropriate reimbursement. The position validates medical necessity, determines the proper payer routing, and confirms that all required documentation is complete before a claim is released.
This is a remote work-from-home position with a Monday through Friday schedule, 8:00 a.m. to 4:30 p.m. Eastern Time.
Essential Duties
- Review claims thoroughly to assign accurate levels of service, correct carriers, and required billing details before submission
- Evaluate documentation for medical necessity, service level appropriateness, and payer/regulatory compliance
- Verify required signatures, documentation elements, and clinical indicators needed for claim adjudication
- Identify, research, and correct discrepancies in patient information, incident details, service levels, and billing data
- Validate trip mileage and service details, investigating variances and matching source documentation
- Apply knowledge of EMS coding rules, Medicare/Medicaid guidelines, and commercial payer requirements
- Manage a high daily claim volume while meeting productivity and accuracy standards
- Maintain compliant documentation for coding actions, updates, and claim modifications
- Communicate professionally with internal partners to clarify documentation or resolve coding questions
- Perform additional duties as assigned
- High school diploma or equivalent required
- Strong attention to detail and follow-through
- Experience as a Paramedic, EMT, RN, LPN, or with emergency medical/pre-hospital claim coding is preferred
- Knowledge of medical billing processes, claim workflows, and healthcare documentation standards
- Proficiency with MS Outlook, Word, and Excel
- Minimum typing speed of 40 WPM with high accuracy
- Ability to work independently in a remote environment
- Strong organizational and time management skills
- Experience in metrics-driven or performance-scored environments is helpful
- Excellent verbal and written communication skills
- Demonstrated accountability, reliability, and willingness to seek clarification when needed
- Competitive salary commensurate with experience
- Comprehensive benefits package
- 401(k) plan
- Equal opportunity employer
Location
N/A
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
2 months ago