A/R Management Specialist - Digitech - Remote

Sarnova

1d•Remote

About The Position

The A/R Management Specialist II position will provide support for all revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes insurance and patient billing follow-up to ensure prompt and accurate payment to the client or provider for all monies owed. The responsibilities of the A/R Management Specialist II will include a higher level of analysis and resolving more complex claim rejections and denials.

Requirements

High School Diploma or equivalent required
Minimum of 2 years’ 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 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 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 supervision.
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

Nice To Haves

Associates Degree preferred
EMS billing experience strongly preferred; experience in other medical specialties will be considered

Responsibilities

Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
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 accounts, including contacting patients by telephone to inquire about insurance coverage
Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
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
Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA
Problem-solve and provide complete resolution for complex accounts and escalations
Perform quality checks on assigned claims
Ensures consistent adherence to company attendance policies
Additional job duties as assigned