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 AR Management Specialist will provide support across all aspects of insurance and patient billing to ensure prompt and accurate payment to the client or provider for all monies owed by both patients and insurers.
Essential Duties and Responsibilities:
- 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 self-pay accounts, including contacting patients by telephone to inquire about insurance coverage or establish payment plans
- Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims daily
- 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
- Perform quality checks on assigned claims
- Maintain confidentiality regarding all assignments
- Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
- Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA
- Ensures consistent adherence to company attendance policies
- Additional job duties as assigned
Skills/Experience Required:
- Education: High School Diploma or equivalent required
- Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
- Hands-on experience preparing and submitting insurance appeals, including understanding remittance advices, 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 customer service skills and experience
- 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 supervisor
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
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.
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Originally posted on Himalayas