A/R Management Specialist II - Digitech - Remote

Sarnova

1d•Remote

About The Position

The A/R Management Specialist II supports revenue cycle activities involving outstanding insurance accounts receivable, insurance denials, and appeals. The role includes following up on insurance and patient billing to help ensure prompt and accurate payment to clients or providers. It involves a higher level of analysis and resolving more complex claim rejections and denials. The position is remote and requires independently managing the role’s work, goals, and business practices with minimal supervision.

Requirements

High school diploma or equivalent.
At least 2 years of experience in healthcare claims processing, billing, or accounts receivable.
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.
Proficiency with web platforms, including billing software and payer portals.
Prior customer service experience and ability to collaborate with other departments and team members.
Basic computer knowledge and experience using Microsoft Office.
Strong interpersonal, organizational, communication, and time-management skills.
Strong investigative and research skills, including 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 supervision.
Ability to independently manage the role’s responsibilities, goals, and business practices in a remote environment.

Nice To Haves

Associate degree.
EMS billing experience; experience in other medical specialties will also be considered.

Responsibilities

Perform job responsibilities and tasks according to company standards and applicable state and federal guidelines.
Call patients, hospitals, insurance companies, facilities, and attorneys as needed to research claims or obtain additional insurance information.
Contact insurance carriers about the status of past-due accounts.
Meet or exceed defined productivity and quality standards.
Document account activity in the claims processing system.
Follow up on accounts, including contacting patients by telephone to inquire about insurance coverage.
Maintain workflow and regularly follow up on unpaid claims to keep aging accounts to a minimum.
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 assigned special projects designated by the Manager.
Comply with applicable laws and regulations, including HIPAA.
Problem-solve and provide complete resolution for complex accounts and escalations.
Perform quality checks on assigned claims.
Adhere consistently to company attendance policies.
Perform additional duties as assigned.