Digitech, part of the Sarnova family of companies, is a leading provider of advanced billing and technology services for the EMS transport industry. The A/R Management Specialist II supports revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals. This role focuses on insurance and patient billing follow-up to ensure prompt and accurate payment, with additional responsibility for resolving more complex claim rejections and denials.
Key responsibilities include:
- Support all revenue cycle activities related to outstanding insurance A/R, denials, and appeals
- Perform insurance and patient billing follow-up
- Research claims and obtain additional insurance information as needed
- Contact insurance carriers regarding past-due accounts
- Maintain accurate documentation of account activity in the claims processing system
- Keep aging accounts to a minimum through regular follow-up on unpaid claims
- Work assigned accounts through collections before external referral
- Handle special projects assigned by management
- Ensure compliance with applicable laws and regulations, including HIPAA
- Resolve complex accounts and escalations
- Perform quality checks on assigned claims
- Work independently in a remote, fast-paced environment
Qualifications and experience required:
- High school diploma or equivalent required; associate degree preferred
- Minimum of 2 years of experience in healthcare claims processing, billing, or accounts receivable
- Experience preparing and submitting insurance appeals
- Understanding of payer denial codes and timely filing limits
- Familiarity with ICD-10, HCPCS, and general medical terminology
- EMS billing experience strongly preferred; other medical specialty experience considered
- Proficiency with billing software, payer portals, and other web-based platforms
- Prior customer service experience and ability to collaborate across departments
- Basic computer knowledge, including Microsoft Office
- Strong interpersonal, organizational, communication, and time-management skills
- Strong investigative, research, critical thinking, and analytical abilities
- Ability to work independently with minimal supervision in a remote setting
Benefits offered include:
- Competitive salary commensurate with experience
- Comprehensive benefits package
- 401(k) plan
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 weeks ago